Andrea Bazan, M.d, S.c

NPI #1437357795 in Park Ridge, Illinois

Provider Information

NPI Number: 1437357795
Entity Type: Organization
Organization Name: Andrea Bazan, M.d, S.c
Primary Specialty: Internal Medicine
Enumeration Date: Jul 10, 2007
Last Updated: Sep 25, 2012

Practice Location

Address: 1600 WEST DEMPSTER STREET
Address 2: SUITE #120
City: Park Ridge
State: Illinois
ZIP Code: 60068
Phone: (847) 299-7888

Authorized Official

Name: DR. ANDREA M. BAZAN, M.D.
Title: PRESIDENT
Phone: (773) 575-0613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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