Most Relevant Information
Provider Data
| NPI Number: | 1003664228 |
| Provider Name: | ISRA HASNAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 125083583 |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
2650 RIDGE AVE STE 1304
EVANSTON
IL
602011700
Practice Location Phone/Fax
| Phone: | 8476663494 |
| Fax: |
Provider Mailing Location
180 HARVESTER DR STE 110
BURR RIDGE
IL
605276686
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR