National Provider Identifier Database

STEPHEN E BASH, MD – NPI #1417041666
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

STEPHEN E BASH, MD
6161 N TRAILS END
PEORIA, IL61614-3524
Phone: 309-692-2664
Fax: 309-692-2664
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for STEPHEN E BASH

NPI Number 1417041666
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 12/09/2020 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036-070694
  • IL Medicaid: 036070694
Hospital affiliation n/a

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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