Organization
METROPOLITAN NEOPEDIATRIX, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR Y WASSEF M.D. (PHYSICIAN OWNER)
(312) 968-0000
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 330, CHICAGO, IL 60622-2717
(773) 227-0111
(773) 227-0006
Mailing address
415 EAST NORTH WATER STREET, SUITE #2005, CHICAGO, IL 60611-5824
(312) 968-0000
(312) 277-7500
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622066
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
05/03/2006
Last updated
04/09/2009
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