Organization
WADAH ATASSI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADAH ATASSI M.D. (MEDICAL DIRECTOR)
(312) 970-9758
Entity
Organization
Contact information
Practice address
8632 S PULASKI RD, CHICAGO, IL 60652-3633
(312) 965-4466
(312) 896-5658
Mailing address
907 SAINT STEPHENS GRN, OAK BROOK, IL 60523-2569
(312) 965-4466
(312) 896-5658
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036-081178
IL
Other
Enumeration date
02/14/2012
Last updated
10/21/2016
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