Al-Aswad, Basel I

Al-Aswad, Basel I is an individual health care provider with primary practice located at 2850 W 95Th St Suite 406, Evergreen Park IL 60805-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Al-Aswad, Basel I can be contacted via phone (708) 499-4844.

Contact Information

Primary practice address
2850 W 95Th St Suite 406 Evergreen Park IL 60805-2735
Phone: (708) 499-4844
Fax: (708) 499-0731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036048539 Illinois

Profile Details

NPI number 1033104641
LBN Legal business name Al-Aswad, Basel I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033104641 NPPES
Illinois Other 31602972 BC/BS NUMBER
Illinois Other 036048539 BC/BS NUMBER
Illinois Other 200005125 BC/BS NUMBER
Illinois Other 36-3618165 BC/BS NUMBER

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