Individual
MRS. SAFIYA OMOSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 FRANCES LN, ORLAND PARK, IL 60462-4769
(708) 296-7922
Mailing address
9000 FRANCES LN, ORLAND PARK, IL 60462-4769
(708) 296-7922
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
056.005754
IL
Other
Enumeration date
03/09/2007
Last updated
10/27/2016
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