Individual
DR. OMER YUSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 725-2121
(815) 744-3117
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121271
IL
208M00000X
Hospitalist Physician
01093362A
IN
208M00000X
Hospitalist Physician
Primary
036121271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121271
—
IL
05
—
1669585956
—
WI
Enumeration date
08/17/2006
Last updated
04/04/2025
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