Bassam Osman, Md, Sc, Ltd | |
2525 S Michigan Ave Chicago IL 60616-2333 | |
(630) 715-9327 | |
(630) 762-1149 |
Full Name | Bassam Osman, Md, Sc, Ltd |
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Speciality | Psychiatry & Neurology |
Location | 2525 S Michigan Ave, Chicago, Illinois |
Authorized Official Name and Position | Bassam Osman (PHYSICIAN) |
Authorized Official Contact | 6307159327 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bassam Osman, Md, Sc, Ltd 36748 Treasury Ctr Chicago IL 60694-6700 Ph: (630) 715-9327 | Bassam Osman, Md, Sc, Ltd 2525 S Michigan Ave Chicago IL 60616-2333 Ph: (630) 715-9327 |
NPI Number | 1245437839 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 10/03/2013 |
Medicare PECOS PAC ID | 4981665544 |
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Medicare Enrollment ID | O20041026000984 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245437839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Bassam Osman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1215937628 PECOS PAC ID: 1052372620 Enrollment ID: I20041027000492 |
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