Individual
MUGUREL VALENTIN BAZAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 534-3278
Mailing address
8854 N GRACE AVE UNIT 2NW, NILES, IL 60714-1410
(773) 653-5017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056600
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036129235
IL
207RC0000X
Cardiovascular Disease Physician
036129235
IL
Other
Enumeration date
07/27/2009
Last updated
01/29/2025
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