Individual
DR. OUSSAMA ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 834-8258
(773) 834-8260
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 834-8258
(773) 834-8260
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
36101786
IL
Other
Enumeration date
06/25/2006
Last updated
06/03/2016
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