Individual
DR. WADAH ATASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W 68TH STREET, PROFESSIONAL PAVILION 4 SOUTH, CHICAGO, IL 60629-1813
(773) 735-4884
(773) 735-2625
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036081178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615184
BCBS
IL
01
—
01621679
BCBS OF IL
IL
05
—
036081178
—
IL
Enumeration date
12/21/2005
Last updated
08/04/2025
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