Organization
DR.HONEID M. BAXAMUSA M.D., M.R.C.P.(U.K.)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONEID M. BAXAMUSA M.D. (OWNER)
(815) 455-1550
Entity
Organization
Contact information
Practice address
460 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7561
(815) 455-1550
(815) 455-9515
Mailing address
460 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7561
(815) 455-1550
(815) 455-9515
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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