NPIMap

Organization Active NPI

Wadah Atassi MD SC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1730452285
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036-081178 Issued in IL
Legal business name
WADAH ATASSI MD SC
Practice address
8632 S Pulaski Rd
Chicago, IL 60652-3633
Phone
(312) 965-4466
Fax
(312) 896-5658
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wadah Atassi, M.D.NPI 1336125327
Title
Medical Director
Phone
(312) 970-9758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036-081178 IL Primary

Addresses

Primary practice location

8632 S Pulaski Rd
Chicago, IL 60652-3633

Mailing address

907 Saint Stephens GRN
Oak Brook, IL 60523-2569
Phone (312) 965-4466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1730452285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAINT STEPHENS GRN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232569",
            "telephone_number": "312-965-4466",
            "fax_number": "312-896-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "312-965-4466",
            "fax_number": "312-896-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADAH ATASSI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "WADAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-970-9758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-081178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.