Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036140682 | IL |
NPI | 1770717670 |
---|---|
Provider Name | Dr. Kamran Syed Hamid |
First Address | Westchester, IL 60154-5723 |
Second Address | Chicago, IL 60612-2530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2009 |
Last Update Date | 12/04/2021 |