Atassi, Wadah

Atassi, Wadah is an sole proprietor health care provider with primary practice located at 2701 W 68Th Street Professional Pavilion 4 South, Chicago IL 60629-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Atassi, Wadah can be contacted via phone (773) 735-4884.

Contact Information

Primary practice address
2701 W 68Th Street Professional Pavilion 4 South Chicago IL 60629-1813
Phone: (773) 735-4884
Fax: (773) 735-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036081178 Illinois

Profile Details

NPI number 1336125327
LBN Legal business name Atassi, Wadah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Feb 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336125327 NPPES
Illinois Other 01615184 BCBS
Illinois Other 01621679 BCBS
Illinois MEDICAID 036081178 BCBS

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