Individual
DR. BASSAM HABBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FACC,FCCP
Contact information
Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
(708) 636-6193
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-072518
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-072518
IL
207RI0011X
Interventional Cardiology Physician
Primary
036072518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072518
—
IL
01
—
21622931
BCBS GROUP #
IL
Enumeration date
08/26/2005
Last updated
03/11/2025
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