Individual
BASRA OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
(708) 684-1028
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
(708) 684-1028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
10/29/2019
Last updated
04/06/2026
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