Individual
DR. BASSIM ASSIOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
(618) 607-5116
Mailing address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
(618) 607-5116
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036137061
IL
390200000X
Student in an Organized Health Care Education/Training Program
2010015148
MO
Other
Enumeration date
07/22/2010
Last updated
10/07/2020
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