Individual
BASHAR OUSTWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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 SHEILD
IL
Enumeration date
07/20/2006
Last updated
07/08/2007
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