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Mohamad Firas Bazerbashi
Diagnostic Radiology Physician in Glen Ellyn, Illinois
NPI 1518223841

Mohamad Firas Bazerbashi is a Diagnostic Radiology Physician based in Chicago, IL and is specialized in Diagnostic Radiology. Mohamad Firas Bazerbashi practices in Glen Ellyn, IL. The NPI Number for Mohamad Firas Bazerbashi is 1518223841 and holds a License No. (Illinois).

The current practice location address for Mohamad Firas Bazerbashi is 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL and can be reached out via phone at 630-946-2020.

Location: 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518223841
Provider Name
Mohamad Firas Bazerbashi
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 Pennsylvania Ave Ste 110, Glen Ellyn, IL, 60677-1260
Phone Number
630-946-2020
Fax Number
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
430 Pennsylvania Ave Ste 110
City
Glen Ellyn
State
Illinois
Zip
60137
Phone Number
630-946-2020
Fax Number
person
Provider Business Mailing Address Details
Address
430 Pennsylvania Ave Ste 110
City
Glen Ellyn
State
Illinois
Zip
60137
Phone Number
630-946-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036144309 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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