Ehsan, Bazal

Ehsan, Bazal is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-3049. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ehsan, Bazal can be contacted via phone (309) 339-4357.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-3049
Phone: (309) 339-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036156383 Illinois

Profile Details

NPI number 1497242770
LBN Legal business name Ehsan, Bazal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2018
Last updated Sep 21st, 2021 - about 4 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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