Kassar, Samer

Kassar, Samer is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone:
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01073001A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-110816 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01073001A Indiana

Profile Details

NPI number 1902839525
LBN Legal business name Kassar, Samer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated May 2nd, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902839525 NPPES
Illinois Other 036115532 BCBS
Illinois Other P00342326 BCBS
Illinois MEDICAID 201190900 BCBS
Illinois Other 000000837445 BCBS
Illinois MEDICAID 036115532 BCBS

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