Mr. Angel Bassuk
Pediatric Surgery
9655 Woods Dr
Skokie
, Illinois 60077-4418
Mr. Angel Bassuk
Pediatric Surgery
9655 Woods Dr
Skokie
, Illinois 60077-4418
(727) 460-4353
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mr. Angel Bassuk
- 90 Kelleys Trl
- Oldsmar, FL
- Zip : 34677-1976
- Phone : (727) 460-4353
Second Address
- Mr. Angel Bassuk
- 9655 Woods Dr
- Skokie, IL
- Zip : 60077-4418
- Phone : (727) 460-4353
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 036-051092 | IL |
National Provider Identifier
| NPI | 1407089923 |
|---|---|
| Provider Name | Mr. Angel Bassuk |
| First Address | Oldsmar, FL 34677-1976 |
| Second Address | Skokie, IL 60077-4418 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
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.