Raad, Wissam

Raad, Wissam is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Raad, Wissam can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036154213 Illinois

Profile Details

NPI number 1104063213
LBN Legal business name Raad, Wissam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2009
Last updated May 10th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104063213 NPPES
New York MEDICAID 13575525

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