Ifath G. Bashiruddin M.d.s.c.
Ifath G. Bashiruddin M.d.s.c. is a Specialist in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
4550 Memorial Dr Ste 410Belleville, IL 62226-5359
Phone: (618) 234-8246
Fax: (618) 234-8271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (IL) |
|---|
Record details
| NPI number | 1821287293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deborah Haake — Business Manager · (618) 234-8246 |
| NPI enumerated | October 22, 2007 |
| Last updated in NPPES | November 5, 2007 |
| Mailing address | 3415 Saluki Woods Rd, Belleville, IL 62223-7017 |
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