Individual
NADIR BAZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
210 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3636
(217) 819-2094
Mailing address
2015 WINCHESTER DR, CHAMPAIGN, IL 61821-6314
(217) 819-2094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.427787
IL
363L00000X
Nurse Practitioner
Primary
209.027982
IL
Other
Enumeration date
10/09/2023
Last updated
10/14/2025
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