Organization
ZORUB CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSSAMA HOSNEY ZORUB M.D. (OWNER)
(708) 422-9771
Entity
Organization
Contact information
Practice address
4700 W 95TH ST, SUITE 103, OAK LAWN, IL 60453-2533
(708) 422-9771
(708) 422-9024
Mailing address
4700 W 95TH ST, SUITE 103, OAK LAWN, IL 60453-2533
(708) 422-9771
(708) 422-9024
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036092465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092465
—
IL
Enumeration date
10/20/2006
Last updated
02/23/2009
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