Ossama Fouad Abdellatif, MD
Individual provider Active NPI Anesthesiology Physician · Berwyn, IL
NPI 1760436786 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1760436786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 036108759 (IL)
- Practice address
- 6626 W Cermak Rd
Berwyn, IL 60402-1894 - Phone
- (708) 788-7246
- Fax
- (708) 788-7247
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Spine Pain and Orthopedic Center LLC | Past | Accepting new patients | |
| Chicagoland Advanced Pain & Headache Clinics, LTD | Past | Accepting new patients | |
| Anesthesia Services of the Fox Valley SC | Anesthesiology | Past | Accepting new patients |
| Hegewisch Spine Pain Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036108759 | IL | Yes |
Addresses
Primary practice location
6626 W Cermak Rd
Berwyn, IL 60402-1894
Mailing address
6626 W Cermak Rd
Berwyn, IL 60402-1894
Phone (708) 788-7246
Other providers in Berwyn, IL
- 34TH Street Dental Care
- 7 Hills Healthcare Center
- Amer Abboud
- Soulaf Abou Khachfe
- Alison M. Abraham
- Dennis Abreu
- Suzanne Abreu
- Acosta and Cabrera Medical Associates, S.C.
All providers in Berwyn, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.