DR. HASAN B ALAM (NPI# 1902880321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902880321 |
| Entity Type | Individual |
| Full Name | DR. HASAN B ALAM |
| Credential | MD |
| Practice Address |
259 E Erie St Ste 1600 Chicago IL 60611-3111 |
| Practice Telephone | 3126955620 |
| Practice Fax Number | 3126952729 |
| Mailing Telephone | 3126955620 |
| Mailing Fax Number | 3126952729 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301101784 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 224253 | MA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301104784 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
224253 | MA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036153320 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2102587 | 05 | |
| MA | TUFTS HEALTH PLAN | 468294 | 01 |
| MA | BCBS OF MA | J28695 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp F, Ann Arbor, MI 481095332 | 7349365738 | 7349366927 |
| Street Address |
259 E ERIE ST STE 1600 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922582691 | Palak Patel | Physician Assistant | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2018-09-19 |
| 1528516762 | Lisa Marie Daul | Physician Assistant | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2016-09-16 |
| 1073961686 | Patricia Pimentel Araujo | Dietitian, Registered | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2016-05-25 |
| 1336539980 | Allison Kelsey Moser | Registered Nurse | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2015-02-03 |
| 1730508052 | Mohammad Ali Abbass | Surgery | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2014-04-15 |
| 1831517671 | Kevin Liu | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2014-03-30 |
| 1780927418 | Kirbylee Kristina Nelson | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2013-04-01 |
| 1942542618 | David Jeremy Bromberg | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2013-03-20 |
| 1336494921 | Rebecca Eileen Drayer | Dietitian, Registered | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2012-07-19 |
| 1487911038 | Harold Joseph Boutte Jr. | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2012-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1831210814 | Marella L. Hanumadass | Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-04-03 |
| 1578681821 | Kimberly K Nagy | Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-03-26 |
| 1497873970 | Roxanne R Roberts | Surgery | 1900 W Polk St, Trauma Office 1300, Chicago, IL 60612-3723 | 2007-03-26 |
| 1437264181 | Rebeca M Rico | Surgery | 836 W Wellington Ave, Trauma Dept, Chicago, IL 60657-5147 | 2006-08-21 |
| 1952333957 | Marc Homer Dahman | Surgery | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2006-07-07 |
| 1750383485 | Michael T Kronon | Surgery | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| 1730341553 | Yuk Ming Liu | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-02 |
| 1437333747 | Scheer Surgical Sc | Surgery | 20 Tower Ct, Suite A, Gurnee, IL 60031-5711 | 2007-12-21 |
| 1164562633 | Steven Lance Salzman | Surgery | 4440 W 95th St, Dept. of Trauma 183s, Oak Lawn, IL 60453-2600 | 2007-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.