Bazi, Martin A

Bazi, Martin A is an individual health care provider with primary practice located at 180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Bazi, Martin A can be contacted via phone (773) 834-4064.

Contact Information

Primary practice address
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686
Phone: (773) 834-4064
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 036094372 Illinois

Profile Details

NPI number 1265582290
LBN Legal business name Bazi, Martin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 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 1265582290 NPPES
Illinois MEDICAID 036094372

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