Alzein, Bashar M

Alzein, Bashar M is an sole proprietor health care provider with primary practice located at 15030 S Ravinia Ave Suite 38, Orland Park IL 60462-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alzein, Bashar M can be contacted via phone (708) 428-4571.

Contact Information

Primary practice address
15030 S Ravinia Ave Suite 38 Orland Park IL 60462-3256
Fax: (708) 428-4542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-110629 Illinois

Profile Details

NPI number 1336111285
LBN Legal business name Alzein, Bashar M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2006
Last updated May 17th, 2011 - about 13 years ago

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 1336111285 NPPES
Indiana MEDICAID 201005230

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