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1487065546
HAITHAM HASSANE
CARBONDALE, IL
NPI
1487065546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine Rheumatology
(Licence: IL 036146447)
Enumeration Date
2014-05-12
Last Update Date
2020-10-30
Business Address
HAITHAM HASSANE MBBCH
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
HAITHAM HASSANE MBBCH
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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