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Hassan Kieso
Cardiovascular Disease Physician in Olympia Fields, Illinois
NPI 1407812050

Hassan Kieso is a Cardiovascular Disease Physician based in Greenwood, IL and is specialized in Cardiovascular Disease. Hassan Kieso practices in Olympia Fields, IL. The NPI Number for Hassan Kieso is 1407812050 and holds a License No. 036092223 (Illinois).

The current practice location address for Hassan Kieso is 3800 W 203Rd St, Olympia Fields, IL and can be reached out via phone at 708-679-2670 and via fax at 708-503-3260. You can also correspond with Hassan Kieso through the mailing address at 1040 SIERRA DRIVE, GREENWOOD, IN - 46143-7241 (mailing address contact number: 317-528-4253).

Location: 3800 W 203Rd St, Olympia Fields, IL, 46143-7241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407812050
Provider Name
Hassan Kieso
Credential
Provider Entity Type
Individual
Gender
Male
Address
3800 W 203Rd St, Olympia Fields, IL, 46143-7241
Phone Number
708-679-2670
Fax Number
708-503-3260
Provider Enumeration Date
04/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036092223 05 IL
L95559 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3800 W 203Rd St
City
Olympia Fields
State
Illinois
Zip
60461-1184
Phone Number
708-679-2670
Fax Number
708-503-3260
person
Provider Business Mailing Address Details
Address
1040 Sierra Drive
City
Greenwood
State
Indiana
Zip
46143-7241
Phone Number
317-528-4253
Fax Number
317-865-8319
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036092223 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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