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
Phone: (708) 788-6363
Fax: (708) 788-1562
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194836924 | NPPES |
| Illinois | MEDICAID | 036047078 | |
| Illinois | Other | 021607135 |
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