Provider Demographics
NPI:1174814412
Name:SINNO, SAMMY (MD)
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:
Last Name:SINNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:737 N MICHIGAN AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6653
Mailing Address - Country:US
Mailing Address - Phone:312-788-2560
Mailing Address - Fax:312-788-2563
Practice Address - Street 1:737 N MICHIGAN AVE STE 1500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-6653
Practice Address - Country:US
Practice Address - Phone:312-788-2560
Practice Address - Fax:312-788-2563
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0.36142306208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery