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Contact Information

BAZELL CLINIC, LLC
3520 S ASHLAND AVE
CHICAGO, IL60609-1317
 Phone: 773-247-4900
 Fax: 773-247-8145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BAZELL CLINIC LLC · (Female)

NPI # 1780616102
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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