Individual
SHUROUQ OMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16205 HARLEM AVE STE B, TINLEY PARK, IL 60477-1682
(708) 614-9301
Mailing address
PO BOX 2460, BRIDGEVIEW, IL 60455-6460
(708) 745-1907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011413
IL
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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