Individual
SAMI M BITTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036075257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075257
—
IL
01
—
1608036
BC/BS PROVIDER #
IL
Enumeration date
04/25/2006
Last updated
03/30/2015
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