Healthcare Provider Details

I. General information

NPI: 1720178734
Provider Name (Legal Business Name): RODEY WASSEF D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 VOLLMER RD.
OLYMPIA FIELDS IL
60461-1073
US

IV. Provider business mailing address

20110 GOVERNORS HWY
OLYMPIA FIELDS IL
60461-1030
US

V. Phone/Fax

Practice location:
  • Phone: 708-481-8883
  • Fax: 708-481-2917
Mailing address:
  • Phone: 708-747-7960
  • Fax: 708-503-3993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: