Individual
MR. ANGEL BASSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9655 WOODS DR, SKOKIE, IL 60077-4418
(727) 460-4353
Mailing address
90 KELLEYS TRL, OLDSMAR, FL 34677-1976
(727) 460-4353
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
036-051092
IL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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