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Individual

AWNI OMAR DAOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9100 BELOIT AVE, BRIDGEVIEW, IL 60455-2605
(708) 655-3008
Mailing address
9100 BELOIT AVE, BRIDGEVIEW, IL 60455-2605
(708) 655-3008

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
D30001458023
IL
344600000X
Taxi
405300000X
Prevention Professional
Primary
D300-0145-8023
IL

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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