Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bassam Soufan, MD

Individual provider Urgent Care Clinic/Center · NPI 1356451546

Bassam Soufan, MD is a Family Practice in Rockford, Illinois. Qualified in 1978, 48 years ago. Practices with Rockford Health Physicians, a 521-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
48
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone: (815) 971-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 875 S Route 31, Crystal Lake, IL 60014-8190 — (779) 220-5500
  • 901 Grant St, Harvard, IL 60033-1821 — (815) 943-5431

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036077791 (IL)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence 036077791 (IL)

Record details

NPI number1356451546
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford