Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASSAM SOUFAN, MD
ActiveBASSAM SOUFAN, MD is a Family Medicine healthcare provider located in ROCKFORD, Illinois. NPI 1356451546 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROCKFORD, IL
Registration Details
- NPI Number
- 1356451546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.95386193922 yrs)
- Last Updated
- Apr 24, 2025
- License
-
036-077791 (IL)
Practice Information
- Address
-
3401 N PERRYVILLE RDROCKFORD, IL, 611148011Browse IL providers · Browse ZIP 61114
- Phone
- 8159712000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DIANA ELIZABETH ALANIS | MD | 1922007418 |
| DR. MITCHELL S KING | MD | 1225038276 |
| DR. THOMAS M SCHILLER | MD | 1104827641 |
| DR. MICHAEL JAMES POLIZZOTTO | M.D. | 1871595371 |
| SYED M MOHIUDDIN | MD | 1144216243 |
| DR. STEVEN D DIAMOND | MD | 1861481244 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.