Raad, Wissam
Raad, Wissam is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Raad, Wissam can be contacted via phone (708) 216-9000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036154213 | Illinois |
Profile Details
| NPI number | 1104063213 |
|---|---|
| LBN Legal business name | Raad, Wissam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2009 |
| Last updated | May 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104063213 | NPPES |
| New York | MEDICAID | 13575525 |
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