Kazkaz, Bassel
Kazkaz, Bassel is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Ste 345 , New Lenox IL 60451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kazkaz, Bassel can be contacted via phone (630) 933-4056.Contact Information
Primary practice address
1890 Silver Cross Blvd Ste 345
New Lenox IL 60451
Phone: (630) 933-4056
Fax: (630) 933-4057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 38376-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036096413 | Illinois |
Profile Details
| NPI number | 1336196054 |
|---|---|
| LBN Legal business name | Kazkaz, Bassel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Sep 5th, 2018 - about 7 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 | 1336196054 | NPPES |
| Illinois | Other | P01349679 | MEDICARE RAILROAD (INDIVIDUAL) |
| Illinois | Other | CA4748 | MEDICARE RAILROAD (INDIVIDUAL) |
| Illinois | Other | 7610 | MEDICARE RAILROAD (INDIVIDUAL) |
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