Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hasan Farid Hasan Othman, MD

Individual provider Pediatrics Physician · NPI 1265091128

Hasan Farid Hasan Othman, MD is a Pediatrics Physician in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Founders Ln
Jacksonville, IL 62650-3919
Phone: (217) 243-0300
Fax: (217) 245-6775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036160282 (IL)

Record details

NPI number1265091128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address15 Founders Ln, Jacksonville, IL 62650-3919

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