Doctor Name: | DR. MARSIE R HASS |
NPI Number: | 1053481911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036067945 |
Business Practice Address: | 17850 S Kedzie Avenue Suite 3100 Hazel Crest, IL - 604292086 |
Business Phone Number: | 7087982400 |
Business Fax Number: | |
Mailing Address: | 17850 S. Kedzie Ave, Suite 3100 HAZEL CREST |
State: | IL |
Postal Code: | 604292086 |
Phone Number: | 7087982400 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036067945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |