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Individual

DR. BASSAM A ASSAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4370 7TH ST, MOLINE, IL 61265-6867
(309) 517-6891
(309) 517-6895
Mailing address
4370 7TH ST, MOLINE, IL 61265-6867
(309) 517-6891
(309) 517-6895

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036085765
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085765
IL
01
08132080
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/27/2006
Last updated
06/15/2017
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