Individual
OSAMA TAGIURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 W PETERSON AVE, CHICAGO, IL 60659-5203
(773) 508-9000
(773) 508-1796
Mailing address
2320 W PETERSON AVE FL 2, CHICAGO, IL 60659-5244
(773) 508-9000
(773) 508-1796
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000316
IL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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