Individual
DR. EYAS O OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 W 156TH ST, SUITE 107, HARVEY, IL 60426-4260
(708) 333-0730
Mailing address
PO BOX 1119, MATTESON, IL 60443-4119
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036108069
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108069
—
IL
Enumeration date
07/28/2005
Last updated
11/25/2009
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