Bassam Soufan is a Family Medicine in Rockford, Illinois. Bassam Soufan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bassam Soufan is 1356451546. The last update date is 2010-01-18.
Bassam Soufan's current location address is 2350 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159712000. The mailing address for Bassam Soufan is 2350 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bassam Soufan |
|---|---|
| Address | 2350 N Rockton Ave, Rockford, Illinois |
| Phone Number | 8159712000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356451546 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-01-18 |
Provider Mailing Address Detail
| Address | 2350 N Rockton Ave |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611033600 |
| Phone Number | 8159712000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-077791 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36077791 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bassam Soufan by the Centers for Medicare & Medicaid Services?
The Bassam Soufan has been assigned the NPI (National Provider Identifier) 1356451546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Bassam Soufan is geographically located?
The Bassam Soufan is physically situated at the following location: 2350 N Rockton Ave, Rockford, IL, 611033600.
What is Bassam Soufan's area of expertise and its corresponding taxonomy classification?
The Bassam Soufan's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Bassam Soufan receive the assignment of its 1356451546 from the Centers for Medicare & Medicaid Services?
The Bassam Soufan was issued its 1356451546 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the Bassam Soufan's details last updated?
The information pertaining to the Bassam Soufan, including its address, specialty, and other details, was most recently updated on 2010-01-18.