Organization
BFDR FAMILY MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR M ALZEIN MD (OWNER)
(708) 460-2244
Entity
Organization
Contact information
Practice address
10751 W 143RD ST, ORLAND PARK, IL 60462-1900
(708) 460-2244
Mailing address
12533 W LAKEVIEW DRIVE, ORLAND PARK, IL 60467-1071
(708) 398-3687
(708) 428-4542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036110629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110629
—
IL
05
—
201005230
—
IN
Enumeration date
06/13/2006
Last updated
03/19/2011
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