Active NPI
Sami M. Bittar, M.D., S.C.
- Plastic Surgery Physician
- La Grange Highlands, IL
National Provider Identifier
1376737296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036075257
- Legal business name
- SAMI M. BITTAR, M.D., S.C.
- Practice address
- 5201 Willow Springs Rd
Suite 440
La Grange Highlands, IL 60525-6537 - Phone
- (708) 354-4667
- Fax
- (708) 354-6454
- NPI assigned
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sami M. Bittar, M.D.
- Title
- Physician
- Phone
- (708) 354-4667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036075257 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd
Suite 440
La Grange Highlands, IL 60525-6537
Mailing address
5201 Willow Springs Rd
Suite 440
La Grange Highlands, IL 60525-6537
Phone (708) 354-4667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036075257 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
5201 Willow Springs Rd
Ste 440
La Grange Highlands, IL 60525
Phone (708) 354-4667
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- La Grange Highlands, IL
- NPI 1134323637
-
- Surgical Physician Assistant
- La Grange Highlands, IL
- NPI 1053515262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1376737296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD",
"address_2": "SUITE 440",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537",
"telephone_number": "708-354-4667",
"fax_number": "708-354-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD",
"address_2": "SUITE 440",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537",
"telephone_number": "708-354-4667",
"fax_number": "708-354-6454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMI M. BITTAR, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "BITTAR",
"authorized_official_first_name": "SAMI",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-354-4667",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036075257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036075257",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.