Individual
BASSEM GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, DEPARTMENT OF ANESTHESIA, ABMC, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3597
(847) 981-5589
Mailing address
DEPARTMENT 4330, CAROL STREAM, IL 60122-4330
(847) 495-1603
(847) 537-4866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036108198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620300
BLUECROSS BLUESHILD OF IL
IL
05
—
036108198 1
—
IL
01
—
364054341
COMMERCIAL INS.GROUP#
IL
Enumeration date
08/21/2006
Last updated
08/18/2008
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