Individual provider · Type 1 NPI
Basil H. Hazimah, DPM
Foot & Ankle Surgery Podiatrist · Carbondale, IL
NPI number
1306903851
Active
Practice location
1235 Cedar Ct
Carbondale, IL 62901-5335
Fax (618) 457-5199
Mailing address
PO Box 997
Carbondale, IL 62903-0997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003066H (OH) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0160053701 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
6 other providers at this address
- Southern Illinois Foot and Ankle Clinic LtdPodiatrist Carbondale, IL NPI 1134224199
- Synapse Collaborative LLCClinical Psychologist Carbondale, IL NPI 1134913379
- Synapse Mental Health PLLCClinical Psychologist Carbondale, IL NPI 1396638847
- Breanna TurnerClinical Social Worker Carbondale, IL NPI 1669142048
- Christopher C. Moore, D.P.M.Podiatrist Carbondale, IL NPI 1013941392
- Mary Chappell, MA, NCSPSchool Psychologist Carbondale, IL NPI 1528857497
About NPI 1306903851
Basil H. Hazimah, DPM's National Provider Identifier is 1306903851, issued on Jan 3, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Carbondale, IL. The record was last updated on Sep 16, 2008.