El Khadra, Maan Sami
El Khadra, Maan Sami is an sole proprietor health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. El Khadra, Maan Sami can be contacted via phone (312) 864-3036.Contact Information
Primary practice address
1901 W Harrison St
Chicago IL 60612-3714
Phone: (312) 864-3036
Fax: (312) 864-9349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036073394 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36-073394 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036073394 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 36-073394 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 66630 | Minnesota |
Profile Details
| NPI number | 1316946700 |
|---|---|
| LBN Legal business name | El Khadra, Maan Sami |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jan 6th, 2023 - about last year |
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 | 1316946700 | NPPES |
| Illinois | Other | 01621175 | BCBS |
| Illinois | Other | 630001349 | BCBS |
| Illinois | MEDICAID | 036073394 | BCBS |
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