IndividualActive
Basil Hazimah, DPM
NPI 1306903851 · Foot & Ankle Surgery Podiatrist · Carbondale, IL
Provider details
- NPI number
- 1306903851
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 36003066H (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1235 Cedar Ct
Carbondale, IL 62901-5335
Phone: (618) 457-0431
Fax: (618) 457-5199
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 997
Carbondale, IL 62903-0997
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.