Individual
OMER MAJDOBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-4179
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-4179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.075611
IL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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