person
Basil H Hazimah, DPM
Foot & Ankle Surgery Podiatrist in Carbondale, Illinois
NPI 1306903851

Basil H Hazimah is a Foot & Ankle Surgery Podiatrist based in Carbondale, IL and is specialized in Foot & Ankle Surgery. Basil H Hazimah practices in Carbondale, IL and has the professional credentials of DPM. The NPI Number for Basil H Hazimah is 1306903851 and holds a License No. 36003066H (Illinois).

The current practice location address for Basil H Hazimah is 1235 Cedar Ct, Carbondale, IL and can be reached out via phone at 618-457-0431 and via fax at 618-457-5199.

Location: 1235 Cedar Ct, Carbondale, IL, 62903-0997
person
Provider Profile Details
NPI Number
1306903851
Provider Name
Basil H Hazimah
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1235 Cedar Ct, Carbondale, IL, 62903-0997
Phone Number
618-457-0431
Fax Number
618-457-5199
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005370 05 IL
CI5845 01 IL RAILROAD MEDICARE
03922239 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1235 Cedar Ct
City
State
Zip
62901-5335
Phone Number
618-457-0431
Fax Number
618-457-5199
person
Provider Business Mailing Address Details
Address
1235 Cedar Ct
City
State
Zip
62901-5335
Phone Number
618-457-0431
Fax Number
618-457-5199
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
36003066H (Ohio)
Definition
Definition to come...
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