Individual
BASITH MAHMOOD OSMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FRCS
Contact information
Practice address
1219 CURRENCY CT, ROCHELLE, IL 61068-2321
(815) 562-4500
(815) 562-5151
Mailing address
10167 E DEER CREEK LN, ROCHELLE, IL 61068
(815) 761-7226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084977
IL
208600000X
Surgery Physician
036084977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084977
—
IL
01
—
07132007
BCBS
IL
01
—
611373400
US DEPT OF LABOR
IL
Enumeration date
09/06/2006
Last updated
08/02/2010
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