Provider Demographics
NPI:1902118524
Name:HASEEB, SYED ABDUL (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ABDUL
Last Name:HASEEB
Suffix:
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:216 CROOKED TREE CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-5430
Mailing Address - Country:US
Mailing Address - Phone:630-991-3874
Mailing Address - Fax:
Practice Address - Street 1:216 CROOKED TREE CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-5430
Practice Address - Country:US
Practice Address - Phone:630-991-3874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000237363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical