Doctor Name: | RANDA M HASSAN |
NPI Number: | 1558459560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036115666 |
Business Practice Address: | 1253 N Alpine Rd Rockford, IL - 611072201 |
Business Phone Number: | 8153917878 |
Business Fax Number: | |
Mailing Address: | 2740 W Foster Ave, Ll7 CHICAGO |
State: | IL |
Postal Code: | 60625 |
Phone Number: | 7738788200 |
Fax Number: | 7732934197 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036115666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |