Organization
ASAD A BAKIR MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASAD A BAKIR M.D. (OWNER)
(708) 937-1060
Entity
Organization
Contact information
Practice address
1112 LATHROP AVE, RIVER FOREST, IL 60305-1453
(708) 937-1060
Mailing address
1112 LATHROP AVE, RIVER FOREST, IL 60305-1453
(708) 937-1060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021608880
BLUE CROSS
IL
05
—
036050525
—
IL
Enumeration date
03/01/2010
Last updated
03/01/2010
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