Individual
KYSE OSSAMA ZORUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(708) 307-5098
Mailing address
14341 DEER HAVEN LN, ORLAND PARK, IL 60467-8103
(708) 307-5098
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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