Provider Demographics
NPI:1821113234
Name:SAMI ATASSI MD LTD
Entity Type:Organization
Organization Name:SAMI ATASSI MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-326-6666
Mailing Address - Street 1:7 ANDREW CT
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-8128
Mailing Address - Country:US
Mailing Address - Phone:312-326-6666
Mailing Address - Fax:
Practice Address - Street 1:2600 S MICHIGAN AVE STE 308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2857
Practice Address - Country:US
Practice Address - Phone:312-326-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL328868954207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL328868954Medicaid
IL210487Medicare ID - Type Unspecified
IN262680Medicare PIN
IL328868954Medicaid