MEDICARE: ANAS NAHHAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	036084508	IL
2	207RP1001X	Pulmonary Disease Physician	036084508	IL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036084508	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00134259	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	01632457	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1780648873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAS NAHHAS M.D.

Provider Business Mailing Address
First Line	:	10604 SOUTHWEST HWY STE 107
Second Line	:
City	:	CHICAGO RIDGE
State	:	IL
Zip	:	60415-2717
Country	:	US
Telephone Number	:	708-422-0636
Fax Number	:	708-371-9330

Provider Business Practice Location Address
First Line	:	10604 SOUTHWEST HIGHWAY
Second Line	:	SUITE 107
City	:	CHICAGO RIDGE
State	:	IL
Zip	:	60415-2717
Country	:	US
Telephone Number	:	708-371-8006
Fax Number	:	708-389-6630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	04/13/2026

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Practice Location Address:

10604 SOUTHWEST HIGHWAY , STE 107
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60415-2717

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Directions to “ ANAS NAHHAS M.D.” Practice Location

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