Individual
DR. BASEL I AL-ASWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036048539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036048539
MEDICAL LICENCE
IL
01
—
200005125
MEDICARE ID-RAILROAD
IL
01
—
31602972
BC/BS NUMBER
IL
01
—
36-3618165
TAX IDENTIFICATION
—
Enumeration date
09/20/2005
Last updated
03/07/2023
Update your record
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