Individual
DR. OMAR SOUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
201 N WESTSHORE DR APT 2501, CHICAGO, IL 60601-7274
(608) 213-7927
Mailing address
201 N WESTSHORE DR APT 2501, CHICAGO, IL 60601-7274
(608) 213-7927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028602
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021003297
IL
Other
Enumeration date
06/27/2011
Last updated
11/08/2023
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