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Contact Information

SAMUEL T BAZ, MD
516 S CHESTNUT ST
WENONA, IL61377-0250
 Phone: 815-853-4402
 Fax: 815-853-4200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAMUEL T BAZ · (Male)

NPI # 1689624470
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL Other 4581199 AETNA
  • IL Other 0006200024 BLUE CROSS/BLUE SHIELD
  • IL Other 017560 HEALTH ALLIANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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