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Bassam Soufan, MD
Family Medicine Physician in Rockford, Illinois
NPI 1356451546

Bassam Soufan is a Family Medicine Physician based in Rockford, IL. Bassam Soufan practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Bassam Soufan is 1356451546 and holds a License No. 036-077791 (Illinois).

The current practice location address for Bassam Soufan is 2350 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-2000.

Location: 2350 N Rockton Ave, Rockford, IL, 61103-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356451546
Provider Name
Bassam Soufan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2350 N Rockton Ave, Rockford, IL, 61103-3600
Phone Number
815-971-2000
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036077791 05 IL
institution
Provider Business Practice Location Address Details
Address
2350 N Rockton Ave
City
Rockford
State
Illinois
Zip
61103-3600
Phone Number
815-971-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2350 N Rockton Ave
City
Rockford
State
Illinois
Zip
61103-3600
Phone Number
815-971-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-077791 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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