Provider Demographics
NPI:1003154311
Name:BAQIR, HASSAN SUHAIL (DC)
Entity Type:Individual
Prefix:
First Name:HASSAN
Middle Name:SUHAIL
Last Name:BAQIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 FINLEY RD
Mailing Address - Street 2:SUITE # 4
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1010
Mailing Address - Country:US
Mailing Address - Phone:630-400-4140
Mailing Address - Fax:
Practice Address - Street 1:2777 FINLEY RD
Practice Address - Street 2:SUITE # 4
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1010
Practice Address - Country:US
Practice Address - Phone:630-400-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor