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Individual

DR. BSHER A TOULEIMAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
71 W 156TH ST, SUITE 203, HARVEY, IL 60426-4260
(708) 331-0405
(708) 331-8164
Mailing address
18141 DIXIE HWY, SUITE 107, HOMEWOOD, IL 60430-2238
(708) 799-8440
(708) 799-8446

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036108361
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108361
IL
01
31601092
BLUE SHIELD
IL
01
P00034232
RR MEDICARE
Enumeration date
12/16/2005
Last updated
12/02/2013
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