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Organization

SAMI M. BITTAR, M.D., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMI M. BITTAR M.D. (PHYSICIAN)
(708) 354-4667
Entity
Organization

Contact information

Practice address
5201 WILLOW SPRINGS RD, SUITE 440, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-4667
(708) 354-6454
Mailing address
5201 WILLOW SPRINGS RD, SUITE 440, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-4667
(708) 354-6454

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036075257
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036075257
IL
Enumeration date
09/04/2007
Last updated
09/04/2007
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