| Humayun S S C | |
|
5140 N California Ave Suite 700 Chicago IL 60625-3645 | |
| (773) 784-2101 | |
| (773) 784-0771 |
| Full Name | Humayun S S C |
|---|---|
| Speciality | Family Medicine |
| Location | 5140 N California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Shaheen A Humayun (PRESIDENT) |
| Authorized Official Contact | 7737842101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humayun S S C 5140 N California Ave Suite 700 Chicago IL 60625-3645 Ph: (773) 784-2101 | Humayun S S C 5140 N California Ave Suite 700 Chicago IL 60625-3645 Ph: (773) 784-2101 |
| NPI Number | 1710074976 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 12/14/2007 |
| Medicare PECOS PAC ID | 9537077037 |
|---|---|
| Medicare Enrollment ID | O20080421000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710074976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36063746 (Illinois) | Primary |
| Provider Name | Vaseem Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003838574 PECOS PAC ID: 1355259854 Enrollment ID: I20110115000069 |
| Provider Name | Hamid Humayun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275550964 PECOS PAC ID: 3072421577 Enrollment ID: I20110204000470 |
| Provider Name | Youshay Humayun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093010423 PECOS PAC ID: 6709015621 Enrollment ID: I20140218001193 |
| Provider Name | Wasay A Humayun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013154327 PECOS PAC ID: 5193996528 Enrollment ID: I20161223000142 |
| Provider Name | Mehjabeen Naseer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295099901 PECOS PAC ID: 3072853605 Enrollment ID: I20190319001280 |
| Provider Name | Zahra Deen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841515137 PECOS PAC ID: 8820308885 Enrollment ID: I20190507002798 |
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