Individual
DR. BASHAR M ALZEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15030 S RAVINIA AVE, SUITE 38, ORLAND PARK, IL 60462-3256
(708) 428-4571
(708) 428-4542
Mailing address
12533 LAKE VIEW DR, ORLAND PARK, IL 60467-1071
(708) 425-4571
(708) 428-4542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005230
—
IN
Enumeration date
02/05/2006
Last updated
05/17/2011
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