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Organization
BASHAR OUSTWANI M.D.S.C.
Active
Organization
BASHAR OUSTWANI M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR OUSTWANI M.D. (PHYSICIAN)
(847) 788-1400
Entity
Organization
Contact information
Practice address
1430 N ARLINGTON HEIGHTS RD, SUITE 205, ARLINGTON HEIGHTS, IL 60004-4830
(847) 788-1400
Mailing address
1430 N ARLINGTON HEIGHTS RD, SUITE 205, ARLINGTON HEIGHTS, IL 60004-4830
(847) 788-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625873
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/20/2006
Last updated
08/22/2020
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