Provider Demographics
NPI:1245496561
Name:HIJAB, SAMINA (MD)
Entity type:Individual
Prefix:
First Name:SAMINA
Middle Name:
Last Name:HIJAB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SAMINA
Other - Middle Name:
Other - Last Name:HIJAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1062 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5338
Mailing Address - Country:US
Mailing Address - Phone:847-722-1591
Mailing Address - Fax:
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:ST ALEXIUS MEDICAL CENTER
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-843-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116753208000000X, 2080P0203X
MO20140325562080P0203X
IL0361167753208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1245496561Medicare PIN