IndividualActive
Abdi Hassan
NPI 1053098236 · Certified Registered Nurse Anesthetist · Normal, IL
Provider details
- NPI number
- 1053098236
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209032470 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
1304 Franklin Ave
Normal, IL 61761-3558
Phone: (309) 268-5227
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2500
Additional practice locations (1)
- 4500 Memorial DrBelleville, IL 62226-5360Phone: (618) 233-7750
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.