Nour Hany Bassil, MD

Individual provider Active NPI Internal Medicine Physician · Chicago, IL

NPI 1083449276 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1083449276
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
125085051 (IL)
Practice address
5140 N California Ave
Chicago, IL 60625-3645
Phone
(773) 878-8200
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125085051ILMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125085051 IL Yes

Addresses

Primary practice location

5140 N California Ave
Chicago, IL 60625-3645

Mailing address

5130 N Albany Ave
Chicago, IL 60625-6813
Phone (216) 224-6980

Other providers in Chicago, IL

All providers in Chicago, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.