Individual
BASHAR ALZAHABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W TEMPLE AVE, STE 103, EFFINGHAM, IL 62401-2186
(515) 964-2772
Mailing address
900 W TEMPLE AVE, EFFINGHAM, IL 62401-2186
(515) 964-2772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036093669
IL
207RN0300X
Nephrology Physician
Primary
036093669
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371322240
TAX ID
IL
05
—
371322240001
—
IL
Enumeration date
09/23/2005
Last updated
07/24/2025
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