Nassim Banisaeed, MD
Pathology, Anatomic Pathology & Clinical Pathology in Springfield, IL. Individual provider (NPI-1).
NPI number1346359320
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346359320
- Entity type
- Individual (NPI-1)
- Name
- Nassim Banisaeed
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036116251 | IL | Yes |
Practice location
701 N First StMemorial Medical Center
Springfield, IL 62781
Phone 217-788-3000 · Fax 217-788-5577
Mailing address
6450 Reliable ParkwayChicago, IL 60686
Phone 217-788-3000 · Fax 217-788-5577
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