Provider Demographics
NPI:1053448225
Name:BACHH, HAMIDA (MD)
Entity Type:Individual
Prefix:MRS
First Name:HAMIDA
Middle Name:
Last Name:BACHH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 GLENMORA DR
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0316
Mailing Address - Country:US
Mailing Address - Phone:312-225-0589
Mailing Address - Fax:312-225-0858
Practice Address - Street 1:2600 S MICHIGAN AVE
Practice Address - Street 2:SUITE #315
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616
Practice Address - Country:US
Practice Address - Phone:312-225-0589
Practice Address - Fax:312-225-0858
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36063891207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D15030Medicare UPIN
IL694240Medicare ID - Type Unspecified