Individual
DR. OBADAH MOUSHMOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S MICHIGAN AVE STE 212, CHICAGO, IL 60616-2859
(312) 567-2795
(800) 707-4890
Mailing address
2600 S MICHIGAN AVE STE 212, CHICAGO, IL 60616-2859
(312) 567-2795
(800) 707-4890
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.168691
IL
390200000X
Student in an Organized Health Care Education/Training Program
036.168691
IL
Other
Enumeration date
03/31/2020
Last updated
04/30/2026
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