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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1215937628 | NPPES |
| Illinois | MEDICAID | 036052025 |
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