Habbal, Bassam
Habbal, Bassam is an individual health care provider with primary practice located at 10837 S Cicero Ave Ste 200 , Oak Lawn IL 60453-6459. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Habbal, Bassam can be contacted via phone (708) 636-7575.Contact Information
Primary practice address
10837 S Cicero Ave Ste 200
Oak Lawn IL 60453-6459
Phone: (708) 636-7575
Fax: (708) 636-6193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-072518 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036-072518 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036072518 | Illinois |
Profile Details
| NPI number | 1427041243 |
|---|---|
| LBN Legal business name | Habbal, Bassam |
| Credentials | MD,FACC,FCCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427041243 | NPPES |
| Illinois | MEDICAID | 036072518 | |
| Illinois | Other | 21622931 |
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