Mohamad Firas Bazerbashi Valid NPI
Individual provider · Diagnostic Radiology Physician · Glen Ellyn, IL
- NPI
- 1518223841
- Type
- Individual (Type 1)
- Primary specialty
- Diagnostic Radiology Physician (Radiology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2085R0202X
- License number
- 036144309 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-04-11
- Last updated
- 2023-08-03
Practice location
430 Pennsylvania Ave Ste 110
Glen Ellyn, IL 60137
(630) 946-2020