Individual provider · Type 1 NPI
Angel Bassuk, MD
Pediatric Surgery Physician · Skokie, IL
NPI number
1407089923
Active
Practice location
9655 Woods Dr
Skokie, IL 60077-4418
Mailing address
90 Kelleys Trl
Oldsmar, FL 34677-1976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | 036-051092 (IL) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
About NPI 1407089923
Angel Bassuk, MD's National Provider Identifier is 1407089923, issued on Sep 1, 2009. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Skokie, IL. The record was last updated on Sep 1, 2009.