Individual
OMAR SUHAYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-1052
Mailing address
215 W WASHINGTON ST APT 4604, CHICAGO, IL 60606-3541
(312) 972-7730
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018002107
IL
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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