Organization
24 IHIM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE WAKIM MA (PRESIDENT)
(630) 472-8800
Entity
Organization
Contact information
Practice address
WESTLAKE HOSPITAL, 1225 W. LAKE STREET, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
24IHIM, LLC, DEPT. 1007, P.O. BOX 6500, CHICAGO, IL 60680-4112
(630) 472-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636804
BCBS
IL
01
—
DF7180
RAILROAD MEDICARE #
IL
Enumeration date
11/14/2006
Last updated
07/18/2019
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