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Bassam Soufan, MD

Family Medicine Physician in Rockford, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356451546

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Registry record

Entity type Individual (Type 1)
Name Bassam Soufan
Credential MD
Sex Male
Practice address 3401 N Perryville Rd, Rockford, IL, 61114
Phone (815) 971-2000
Enumeration date Aug 30, 2006
Last updated in NPPES Apr 22, 2026

Taxonomy & licenses

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License 036077791 (IL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036077791 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
036077791 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bassam Soufan?
The National Provider Identifier (NPI) for Bassam Soufan is 1356451546, a Type 1 (individual) record in the CMS NPPES registry.
Where does Bassam Soufan practice?
The practice location on file with NPPES is in Rockford, IL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-22.