Individual
WAHID KASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE STE 467, CHICAGO, IL 60631-3715
(630) 866-3636
(773) 692-2035
Mailing address
7447 W TALCOTT AVE STE 467, CHICAGO, IL 60631-3715
(630) 866-3636
(773) 692-2035
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036107989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107989
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400094850
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P00078735
RR MEDCIARE PTAN (INDIVIDUAL)
IL
Enumeration date
11/29/2005
Last updated
10/02/2025
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