Dr. Basel I Al-Aswad
Orthopaedic Surgeon
2850 W 95th St Suite 406
Evergreen Park
, Illinois 60805-2735
Dr. Basel I Al-Aswad
Orthopaedic Surgeon
2850 W 95th St Suite 406
Evergreen Park
, Illinois 60805-2735
(708) 499-0731
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Basel I Al-Aswad
- 2850 W 95th St Suite 406
- Evergreen Park, IL
- Zip : 60805-2735
- Fax : (708) 499-0731
- Phone : (708) 499-4844
Second Address
- Dr. Basel I Al-Aswad
- 2850 W 95th St Suite 406
- Evergreen Park, IL
- Zip : 60805-2735
- Fax : (708) 499-0731
- Phone : (708) 499-4844
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Is Dr. Basel I Al-Aswad a sole practitioner?
Is Dr. Basel I Al-Aswad accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036048539 | IL |
National Provider Identifier
| NPI | 1033104641 |
|---|---|
| Provider Name | Dr. Basel I Al-Aswad |
| First Address | Evergreen Park, IL 60805-2735 |
| Second Address | Evergreen Park, IL 60805-2735 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 02/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036048539 | MEDICAL LICENCE (01) | IL |
| 200005125 | MEDICARE ID-RAILROAD (01) | IL |
| 31602972 | BC/BS NUMBER (01) | IL |
| 36-3618165 | TAX IDENTIFICATION (01) | |
| AA5827297 | DEA (01) | IL |
| C38786 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.