Individual
WASSIM SHWAIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8840 CALUMET AVE STE 203, MUNSTER, IN 46321-2546
(219) 836-7723
(219) 836-7726
Mailing address
PO BOX 1103, CROWN POINT, IN 46308-1103
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01064103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527883
BCBS IN
IN
01
—
200872190
MEDICAID
IN
01
—
217960C
MEDICARE
IN
01
—
90001173
BCBS IL
IL
01
—
P00434655
MEDICARE RAILROAD
—
Enumeration date
07/11/2007
Last updated
07/21/2022
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