Hasan Farid Hasan Othman, MD

NPI #1265091128 in Jacksonville, Illinois

Provider Information

NPI Number
1265091128
Entity Type
Individual
Name
Hasan Farid Hasan Othman, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Jun 13, 2019
Last Updated
Mar 28, 2024

Practice Location

Address
15 FOUNDERS LN
ZIP Code
62650-3919
Phone
(217) 243-0300

Specialties & Taxonomy Codes

Specialty
Pediatrics

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