Search › Illinois › 207Q00000X
Bassam Soufan, MD
NPI 1356451546 · on the registry since 2006
Practice
- Address
- 3401 N Perryville Rd
Rockford, IL 61114 - Phone
- (815) 971-2000
- Organisation at this address
- Javon Bea Hospital
Mercy Assisted Care, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 901 Grant St, Harvard, IL
- 875 S Route 31, Crystal Lake, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 261QU0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois