Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BASSIM ASSIOUN, M.D.
ActiveNephrology · O FALLON, IL
Registration Details
- NPI Number
- 1669785408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2010 (15.815868183593 yrs)
- Last Updated
- Oct 7, 2020
- Licenses
-
2010015148 (MO)036137061 (IL)
Practice Information
- Address
-
3 SAINT ELIZABETH BLVD STE 5000O FALLON, IL, 622691282Browse IL providers · Browse ZIP 62269
- Phone
- 6186415803
- Fax
- 6186075116
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
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.