Dr. Sammy Issa Nawas
Surgeon Cardiothoracic Vascular Surgeon
10604 Southwest Hwy Ste 101
Chicago Ridge
, Illinois 60415
Dr. Sammy Issa Nawas
Surgeon Cardiothoracic Vascular Surgeon
10604 Southwest Hwy Ste 101
Chicago Ridge
, Illinois 60415
(708) 423-5799
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Sammy Issa Nawas
- 10604 Southwest Hwy Ste 101
- Chicago Ridge, IL
- Zip : 60415-2704
- Fax : (708) 423-5799
- Phone : (708) 346-4065
Second Address
- Dr. Sammy Issa Nawas
- 10604 Southwest Hwy Ste 101
- Chicago Ridge, IL
- Zip : 60415
- Fax : (708) 423-5799
- Phone : (708) 346-4065
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036094091 | IL |
| N | 208600000X | Surgeon | 036094091 | IL |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036094091 | IL |
National Provider Identifier
| NPI | 1134114812 |
|---|---|
| Provider Name | Dr. Sammy Issa Nawas |
| First Address | Chicago Ridge, IL 60415-2704 |
| Second Address | Chicago Ridge, IL 60415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2005 |
| Last Update Date | 27/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01618941 | BCBS (01) | IL |
| 036064091 | (05) | IL |
| 200543370B | (05) | IN |
| 200543370C | (05) | IN |
| I11708 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.