Maalouf, Bassam N
Maalouf, Bassam N is an individual health care provider with primary practice located at 321 Regency Park Ste 100 , O Fallon IL 62269-1887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Maalouf, Bassam N can be contacted via phone (618) 416-7970.Contact Information
Primary practice address
321 Regency Park Ste 100
O Fallon IL 62269-1887
Phone: (618) 416-7970
Fax: (618) 416-7971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036133141 | Illinois |
Profile Details
| NPI number | 1720173438 |
|---|---|
| LBN Legal business name | Maalouf, Bassam N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720173438 | NPPES |
| Illinois | MEDICAID | 036133141 |
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