Individual
OMAR OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
PO BOX 424, WESTMONT, IL 60559
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.123908
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036.123908
IL
Other
Enumeration date
09/04/2007
Last updated
03/13/2018
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