Individual
MICHEL N ILBAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3029
(312) 787-7903
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036056960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056960
—
IL
05
—
100356800A
—
IN
01
—
1618327
BCBS PROVIDER ID
IL
Enumeration date
04/21/2006
Last updated
02/07/2025
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