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Individual

SALEM BADR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RC0000X
WI
207RC0000X
Cardiovascular Disease Physician
31510
WV
207RI0011X
Interventional Cardiology Physician
036.173220
IL
207RI0011X
Interventional Cardiology Physician
Primary
65261
WI

Other

Enumeration date
04/22/2013
Last updated
04/08/2026
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