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BASIL H HAZIMAH DPM
NPI 1306903851
Podiatrist - Foot & Ankle Surgery in Carbondale, IL

Active since January 03, 2007
1235 CEDAR CT, CARBONDALE, IL 62901(618) 457-0431(618) 457-5199 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Basil H Hazimah Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIL H HAZIMAH DPM (NPI 1306903851) is an individual foot & ankle surgery provider in Carbondale, Illinois, licensed in Illinois (0160053701) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1306903851
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameBASIL H HAZIMAHCredential: DPM
Location Address1235 CEDAR CTCarbondale, IL 62901-5335
Mailing AddressPo Box 997Carbondale, IL 62903-0997 · (618) 457-0431 · Fax (618) 457-5199
Phone(618) 457-0431
Fax(618) 457-5199
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 16, 2008
✔ NPI 1306903851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in IL · 0160053701✔ Licensed in OH · 36003066H
1235 CEDAR CT, Carbondale, IL 62901
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Other Identifiers 6

Other03922239IL · Blue Cross/blue Shield
OtherCI5845IL · Railroad Medicare
Medicare UPINU82038IL
Medicare PIN505620IL
Medicaid016005370IL
Medicare NSC0718600001IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ILLINOIS FOOT AND ANKLE CLINIC LTD
Podiatrist
1235 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 457-0431
SYNAPSE COLLABORATIVE LLC
Psychologist (Clinical)
1235 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 467-8805
SYNAPSE MENTAL HEALTH PLLC
Psychologist (Clinical)
1235 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 467-8805
MRS. MARY CHAPPELL MA, NCSP
Psychologist (School)
1235 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 467-8805
BREANNA TURNER
Social Worker (Clinical)
1235 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 467-8805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basil Hazimah's NPI number?

The NPI number for Basil Hazimah is 1306903851. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Basil Hazimah located?

Basil Hazimah practices at 1235 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 457-0431.

What is Basil Hazimah's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Basil Hazimah was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.