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NPI Code Detail

MEDICARE: OMAR OSMAN MD PC

MEDICARE: OMAR OSMAN MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
22084P0800XPsychiatry Physician
3208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1669192472
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMAR OSMAN MD PC
Provider Business Mailing Address
First Line : 415 W GOLF RD STE 26
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3923
Country : US
Telephone Number : 855-700-8184
Fax Number : 224-236-4900
Provider Business Practice Location Address
First Line : 9400 MARION AVE
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-1255
Country : US
Telephone Number : 855-611-8783
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : OMAR OSMAN
Credential :
Telephone Number : 855-700-8184
Provider Enumeration Date : 08/31/2022
Last Update Date : 12/05/2025

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