Individual
GREGORY BAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16690 COLLINS AVE, SUNNY ISLES BEACH, FL 33160-5684
(833) 477-8578
Mailing address
20 EXECUTIVE CT, SUITE 3, SOUTH BARRINGTON, IL 60010-9543
(847) 382-4160
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036103581
IL
208200000X
Plastic Surgery Physician
Primary
ME165945
FL
Other
Enumeration date
02/26/2007
Last updated
03/01/2025
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