Provider Demographics
NPI:1497709059
Name:HASHIM, FIRDAUS (MD)
Entity Type:Individual
Prefix:DR
First Name:FIRDAUS
Middle Name:
Last Name:HASHIM
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 1:3508 TUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4164
Mailing Address - Country:US
Mailing Address - Phone:630-778-4774
Mailing Address - Fax:630-778-4725
Practice Address - Street 1:1012 95TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5041
Practice Address - Country:US
Practice Address - Phone:630-778-4774
Practice Address - Fax:630-778-4725
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2227426OtherBCBS OF IL
IL0002227426OtherBCBS OF IL
IL2227426OtherBCBS OF IL
IL630080Medicare PIN