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

Bazal Ehsan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497242770

Bazal Ehsan is an Internal Medicine in Peoria, Illinois. Qualified in 2013, 13 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-3049
Phone: (309) 339-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036156383 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497242770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2018
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address2000 Ridge Ln Apt 4, Woodridge, IL 60517-3049

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Peoria