Individual
OMAR AZZAM MOHAMED METWALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
5841 SOUTH MARYLAND AVE, MC 2026, CHICAGO, IL 60637
(773) 702-6024
Mailing address
5841 SOUTH MARYLAND AVE, MC 2026, CHICAGO, IL 60637
(773) 702-6024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.150959
IL
Other
Enumeration date
01/11/2020
Last updated
03/16/2020
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