Search › Illinois › 207R00000X
Hatem Hassaballa
NPI 1699174540 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5841 S Maryland Ave
Chicago, IL 60637 - Phone
- (773) 702-5211
- Fax
- (773) 702-8875
- Organisation at this address
- Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of ChicagoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,773
Additional practice sites
- 840 S Wood St Fl 4, Chicago, IL
- 800 Biesterfield Rd, Elk Grove Village, IL
- 20201 Crawford Ave, Olympia Fields, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois