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Individual
BASSEM ATASSI
Active
Individual
BASSEM ATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01026618A
IN
208800000X
Urology Physician
Primary
036047780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095415
BLUE CROSS
IN
01
—
0091108086
BLUE CROSS
IL
01
—
036047780
STATE LICENSE
IL
05
—
100168350A
—
IN
01
—
341664075
RAILROAD MEDICARE
IN
Enumeration date
11/28/2005
Last updated
03/17/2018
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