Wissam Raad
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Maywood, IL. Individual provider (NPI-1).
NPI number1104063213
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1104063213
- Entity type
- Individual (NPI-1)
- Name
- Wissam Raad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2009
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036154213 | IL | Yes |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Other practice locations
1875 Dempster St Ste 265
Park Ridge, IL 60068-1126
Park Ridge, IL 60068-1126
Phone 847-723-1550 · Fax 847-723-1551
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