| Basil H Hazimah, DPM | |
|
1235 Cedar Ct, Carbondale, IL 62901-5335 | |
| (618) 457-0431 | |
| (618) 457-5199 |
| Full Name | Basil H Hazimah |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1235 Cedar Ct, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306903851 | NPI | - | NPPES |
| 016005370 | Medicaid | IL | |
| CI5845 | Other | IL | RAILROAD MEDICARE |
| 03922239 | Other | IL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36003066H (Ohio) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0160053701 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Basil H Hazimah, DPM Po Box 997, Carbondale, IL 62903-0997 Ph: (618) 457-0431 | Basil H Hazimah, DPM 1235 Cedar Ct, Carbondale, IL 62901-5335 Ph: (618) 457-0431 |
Christopher C Moore, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1235 Cedar Ct, Carbondale, IL 62901 Phone: 618-457-0431 Fax: 618-457-5199 | |
Southern Illinois Foot And Ankle Clinic Ltd Podiatrist Medicare: Medicare Enrolled Practice Location: 1235 Cedar Ct, Carbondale, IL 62901 Phone: 618-457-0431 Fax: 618-457-5199 |