Individual
DR. AHMAD SAYAM BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 S 80TH AVE, PALOS HEIGHTS, IL 60463-1270
(708) 923-7878
(708) 923-7888
Mailing address
12251 S 80TH AVE STE 202, PALOS HEIGHTS, IL 60463-1290
(708) 923-7878
(708) 923-7888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.140803
IL
2084P0800X
Psychiatry Physician
64067-20
WI
2084P0800X
Psychiatry Physician
R2832
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.140803
—
IL
Enumeration date
02/26/2011
Last updated
01/26/2022
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