Individual
DR. ERIC MICHAEL BASS
Active
Individual
DR. ERIC MICHAEL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036 083278
IL
208600000X
Surgery Physician
036083278
IL
208600000X
Surgery Physician
S8685
TX
208C00000X
Colon & Rectal Surgery Physician
036083278
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
S8685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046539
RRMC
IL
05
—
0360832781
—
IL
Enumeration date
02/08/2006
Last updated
08/30/2022
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