Provider Demographics
NPI:1437900040
Name:DIVINE INTERVENTIONS AN HKN LLC
Entity Type:Organization
Organization Name:DIVINE INTERVENTIONS AN HKN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:NAZEER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-301-8354
Mailing Address - Street 1:2589 OAK RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-0314
Mailing Address - Country:US
Mailing Address - Phone:630-301-8354
Mailing Address - Fax:708-576-9542
Practice Address - Street 1:1701 W MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4257
Practice Address - Country:US
Practice Address - Phone:708-576-9542
Practice Address - Fax:708-570-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty