Doctor Name: | SAMI M BITTAR |
NPI Number: | 1568428886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036075257 |
Business Practice Address: | 5201 Willow Springs Rd Suite 440 La Grange Highlands, IL - 605256537 |
Business Phone Number: | 7083544667 |
Business Fax Number: | 7083546454 |
Mailing Address: | 5201 Willow Springs Rd, Suite 440 LA GRANGE HIGHLANDS |
State: | IL |
Postal Code: | 605256537 |
Phone Number: | 7083544667 |
Fax Number: | 7083546454 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 036075257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |