Provider Demographics
NPI:1447486329
Name:HADDADIN, RAMEZ I (MD)
Entity type:Individual
Prefix:DR
First Name:RAMEZ
Middle Name:I
Last Name:HADDADIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:645 NORTH MICHIGAN AVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-908-8152
Mailing Address - Fax:312-503-8152
Practice Address - Street 1:645 NORTH MICHIGAN AVE
Practice Address - Street 2:SUITE 440
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-908-8152
Practice Address - Fax:312-503-8152
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2021-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.135723207W00000X
MA254833207W00000X
IN01074368A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology