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Individual

HAISSAM SABBAGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 W HILLGROVE AVE UNIT 871, LA GRANGE, IL 60525-1035
(708) 691-8981
(630) 850-7018
Mailing address
121 W HILLGROVE AVE UNIT 871, LA GRANGE, IL 60525-1035
(708) 691-8981
(630) 850-7018

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36047078
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021607135
BCBS
IL
05
036047078
IL
Enumeration date
08/31/2006
Last updated
12/19/2024
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