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BASSAM SOUFAN, MD

MD

Family Medicine Physician

NPI: 1356451546IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinic/Center — Urgent Care

Code: 261QU0200X

036077791(IL)

Family Medicine

Code: 207Q00000X

036077791(IL)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 1978

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Contact & Hours

Via practice · 4 locations total

Address
875 S ROUTE 31
CRYSTAL LAKE, IL 60014

Quick Facts

NPI
1356451546
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
4
Years in Practice
48

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