Osman, Bassam

Osman, Bassam is an individual health care provider with primary practice located at 2525 S Michigan Ave , Chicago IL 60616-2333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Osman, Bassam can be contacted via phone (630) 715-9327.

Contact Information

Primary practice address
2525 S Michigan Ave Chicago IL 60616-2333
Phone: (630) 715-9327
Fax: (630) 736-6041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036052025 Illinois

Profile Details

NPI number 1215937628
LBN Legal business name Osman, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 3rd, 2013 - about 12 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 1215937628 NPPES
Illinois MEDICAID 036052025

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