Bassam Soufan MD

  • NPI 1356451546
According to our database, the NPI number for Bassam Soufan MD is 1356451546 and activated since 17 years ago. Bassam Soufan MD is an individual provider who specializes in Family Medicine, and the primary practice location is 2350 N Rockton Ave, Rockford, IL 61103. You can also contact Bassam Soufan MD via telephone number is (815) 971-2000. Provider NPI information was last updated on 01/18/2010.

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Overview of Bassam Soufan MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/30/2006
  • Last updated: 01/18/2010

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036-077791
  • License State: IL

Provider Mailing Address

  • Address: 2350 N Rockton Ave
    Rockford, IL 61103
  • Phone: 815-971-2000
  • Fax:

Provider Practice Location

  • Address: 2350 N Rockton Ave
    Rockford, IL 61103
  • Phone: 815-971-2000
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036-077791
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036077791
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Bassam Soufan MD?
  • A: The npi number for Bassam Soufan MD is 1356451546.
  • Q: What are Bassam Soufan MD's specialties?
  • A: Bassam Soufan MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Bassam Soufan MD?
  • A: The medical license number for Bassam Soufan MD is 036-077791 and issued in IL in USA.
  • Q: Where is Bassam Soufan MD practice location?
  • A: Bassam Soufan MD is practicing at 2350 N Rockton Ave, Rockford, IL 61103.
  • Q: How to contact Bassam Soufan MD?
  • A: You can contact Bassam Soufan MD via 815-971-2000.