Sabbagh, Haissam

Sabbagh, Haissam is an sole proprietor health care provider with primary practice located at Po Box 871 , La Grange IL 60525-0871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sabbagh, Haissam can be contacted via phone (708) 788-6363.

Contact Information

Primary practice address
Po Box 871 La Grange IL 60525-0871
Fax: (708) 788-1562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36047078 Illinois

Profile Details

NPI number 1194836924
LBN Legal business name Sabbagh, Haissam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 6th, 2020 - about 6 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 1194836924 NPPES
Illinois MEDICAID 036047078
Illinois Other 021607135

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