Individual
OSAMA ANWAR AHMED RASLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.B.CH
Contact information
Practice address
2160 S 1ST AVE RM 833, MAYWOOD, IL 60153-3328
(708) 216-3926
Mailing address
8613 ROCKEFELLER AVE, BROOKFIELD, IL 60513-1414
(205) 201-8428
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036140283
IL
2085N0700X
Neuroradiology Physician
Primary
036140283
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2010
Last updated
07/21/2016
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