Individual
BASSAM KAWADRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 GREEN TRAILS DR, NAPERVILLE, IL 60540-7029
(630) 712-7763
(630) 717-7765
Mailing address
1314 GREEN TRAILS DR, NAPERVILLE, IL 60540-7029
(630) 712-7763
(630) 717-7765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01049211A
IN
207P00000X
Emergency Medicine Physician
Primary
036061261
IL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
036061261
IL
Other
Enumeration date
07/06/2006
Last updated
08/02/2022
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