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NPI Code Detail

MEDICARE: BASRA OSMAN MD

MEDICARE: BASRA OSMAN MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIL

General Provider Information

NPI Number : 1730723206
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASRA OSMAN MD
Provider Business Mailing Address
First Line : 4440 W 95TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 708-684-5375
Fax Number : 708-684-1028
Provider Business Practice Location Address
First Line : 4440 W 95TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 708-684-5375
Fax Number : 708-684-1028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2019
Last Update Date : 04/06/2026

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