Ifath G. Bashiruddin M.d.s.c. - Belleville, IL

Ifath G. Bashiruddin M.d.s.c.

Specialist in Belleville, Illinois

NPI 1821287293

Ifath G. Bashiruddin M.d.s.c. is a Specialist based in Belleville, IL. Ifath G. Bashiruddin M.d.s.c. practices in Belleville, IL. The NPI Number for Ifath G. Bashiruddin M.d.s.c. is 1821287293 and holds a License No. (Illinois).

The current practice location address for Ifath G. Bashiruddin M.d.s.c. is 4550 Memorial Dr, Belleville, IL and can be reached out via phone at 618-234-8246 and via fax at 618-234-8271.

Location: 4550 Memorial Dr, Belleville, IL, 62223-7017

NPI Number

1821287293

Provider Name

Ifath G. Bashiruddin M.d.s.c.

Credential

Provider Entity Type

Organization

Address

4550 Memorial Dr, Belleville, IL, 62223-7017

Phone Number

618-234-8246

Fax Number

618-234-8271

Provider Enumeration Date

10/22/2007

Last Update Date

03/09/2024

Address

4550 Memorial Dr

City

Belleville

State

Illinois

Zip

62226-5359

Phone Number

618-234-8246

Fax Number

618-234-8271

Address

4550 Memorial Dr

City

Belleville

State

Illinois

Zip

62226-5359

Phone Number

618-234-8246

Fax Number

618-234-8271

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

(Illinois)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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