Provider Demographics
NPI:1639510555
Name:HASAPIS, SULTAN S (PSYD)
Entity type:Individual
Prefix:
First Name:SULTAN
Middle Name:S
Last Name:HASAPIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SULTAN
Other - Middle Name:S
Other - Last Name:ONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:800 ROOSEVELT ROAD
Mailing Address - Street 2:GUILDING B, SUITE 419A
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137
Mailing Address - Country:US
Mailing Address - Phone:847-652-3255
Mailing Address - Fax:
Practice Address - Street 1:800 ROOSEVELT ROAD
Practice Address - Street 2:BUILDING B, SUITE 419A
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137
Practice Address - Country:US
Practice Address - Phone:630-908-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL207844OtherGROUP MEDICARE