MEDICARE: ILLIANA PHYSICIANS GROUP

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
1	261QM2500X	Medical Specialty Clinic/Center		IL

General Provider Information

NPI Number	:	1134145493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILLIANA PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	3550 E 118TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-7314
Country	:	US
Telephone Number	:	773-646-9800
Fax Number	:	773-646-9801

Provider Business Practice Location Address
First Line	:	3550 E 118TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-7314
Country	:	US
Telephone Number	:	773-646-9800
Fax Number	:	773-646-9801

Authorized Official
Title or Position	:	OWNER
Name	:	MR. OSSAMA HOSNEY ZORUB
Credential	:	M. D.
Telephone Number	:	773-646-9800

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1457354441 — DR. KENNETH FRIED DDS
Practice Location Address:

3540 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 773-646-6262
Practice Fax:

1801841127 — DORIAN R FINDER M.D.
Practice Location Address:

3550 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 773-646-9800
Practice Fax:

1326173618 — DR. ESTELLA FAVIOLA MARTINEZ M.D.
Practice Location Address:

3550 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 773-646-9800
Practice Fax:

1114143625 — DAVID LUYANDO JR. D.C,
Practice Location Address:

3550 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 773-646-9700
Practice Fax: 773-646-9805

1811171143 — AUNT MARTHAS YOUTH SERVICE CENTER INC
Practice Location Address:

3528 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 708-747-7100
Practice Fax:

1275834509 — UNITED DENTAL CENTERS, LTD
Practice Location Address:

3540 E 118TH ST
CHICAGO, IL
60617-7314

Practice Phone: 773-646-6262
Practice Fax:

Directions to “ILLIANA PHYSICIANS GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.