Provider Demographics
NPI:1578573291
Name:BITAR, REEM (MD)
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:BITAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GRANT SQ UNIT 159
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3351
Mailing Address - Country:US
Mailing Address - Phone:312-857-5482
Mailing Address - Fax:
Practice Address - Street 1:19W077 ERNEST ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561
Practice Address - Country:US
Practice Address - Phone:708-703-6808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108652207L00000X, 208VP0000X
IN01065149A171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036108652Medicaid
IL964290036OtherLOCALITY 16
ILIL3596068OtherLOCALITY 15
ILIL3596068Medicare PIN
IL036108652Medicaid
IL964290036OtherLOCALITY 16
ILK14860Medicare PIN