Individual
OSMAN ELBUSHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4909 N MARMORA AVE, UNIT 2, CHICAGO, IL 60630-1991
(773) 574-9251
Mailing address
4909 N MARMORA AVE, UNIT 2, CHICAGO, IL 60630-1991
(773) 574-9251
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
70741466
IL
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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