Provider Demographics
NPI:1427868728
Name:ALBATTIKHI, ANAS BASSAM MOHD KHAIR (MD)
Entity type:Individual
Prefix:MR
First Name:ANAS
Middle Name:BASSAM MOHD KHAIR
Last Name:ALBATTIKHI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 W 16TH STREET
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402
Mailing Address - Country:US
Mailing Address - Phone:773-440-8093
Mailing Address - Fax:
Practice Address - Street 1:1740 W TAYLOR
Practice Address - Street 2:UNIVERSITY OF ILLINOIS HEALTH UIC
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:866-600-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250850632086S0127X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery