Organization
KAZKAZ SOUTHWEST NEUROLOGY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEL KAZKAZ MD (PRESIDENT)
(608) 843-5332
Entity
Organization
Contact information
Practice address
1890 SILVER CROSS BLVD STE 320, NEW LENOX, IL 60451-9610
(815) 722-8106
Mailing address
143 KRAML DRIVE, BURR RIDGE, IL 60527
(608) 843-5332
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/15/2020
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