Atassi, Mohamad Fatin
Atassi, Mohamad Fatin is an individual health care provider with primary practice located at 6625 S Pulaski Rd , Chicago IL 60629-5137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Atassi, Mohamad Fatin can be contacted via phone (773) 585-1555.Contact Information
Primary practice address
6625 S Pulaski Rd
Chicago IL 60629-5137
Phone: (773) 585-1555
Fax: (773) 585-1787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036062020 | Illinois |
Profile Details
| NPI number | 1073508172 |
|---|---|
| LBN Legal business name | Atassi, Mohamad Fatin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Dec 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073508172 | NPPES |
| Illinois | MEDICAID | 036062020 |
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