Provider Demographics
NPI:1124069513
Name:MUSVI, BATOOL H (MD)
Entity type:Individual
Prefix:
First Name:BATOOL
Middle Name:H
Last Name:MUSVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 E SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-5156
Mailing Address - Country:US
Mailing Address - Phone:847-352-4377
Mailing Address - Fax:847-352-4327
Practice Address - Street 1:1375 E SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-5166
Practice Address - Country:US
Practice Address - Phone:847-352-4377
Practice Address - Fax:847-352-4327
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36065371174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036065371Medicaid
IL0001626937OtherBLUE CROSS BLUE SHIELD
ILC37117Medicare UPIN
IL599450Medicare ID - Type UnspecifiedMEDICARE