Individual
DR. BASSEL ELIA ABOUZEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 655-4163
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036170067
IL
207VG0400X
Gynecology Physician
036170067
IL
Other
Enumeration date
07/01/2020
Last updated
11/06/2024
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