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NPI Code Detail

MEDICARE: MEHANA A OSMAN PT, MS, OCS

MEDICARE: MEHANA A OSMAN PT, MS, OCS
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
12251X0800XOrthopedic Physical TherapistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101634847OTHERILBCBS

General Provider Information

NPI Number : 1750335006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHANA A OSMAN PT, MS, OCS
Provider Business Mailing Address
First Line : 3742 HOME AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-3922
Country : US
Telephone Number : 708-788-6139
Fax Number : 708-788-6101
Provider Business Practice Location Address
First Line : 2738 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5247
Country : US
Telephone Number : 773-292-9380
Fax Number : 773-292-9381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/09/2007

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Directions to “ MEHANA A OSMAN PT, MS, OCS” Practice Location

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