Oussama Itani MD

NPI 1083640361 - Pediatrics - 2080N0001X

NPI Details
NPI 1083640361
Gender Male
Enumeration Date 06/25/2006
Last Updated 06/03/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
5841 S MARYLAND AVE
CHICAGO IL, 60637-1447, US
Phone (773) 834-8258
Fax (773) 834-8260
Business Location
180 HARVESTER DR STE 110
BURR RIDGE IL, 60527-6686, US
Phone (773) 834-8258
Fax (269) 323-1032
Toxanomy
Taxonomy Code 2080N0001X
License State Kentucky
License Number 30864
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According to our database, Dr. Oussama Itani MD NPI is 1083640361, taxonomy code is 2080N0001X and license number is 30864, license state is located at Kentucky. Oussama Itani MD physically located at 5841 S Maryland Ave, Chicago IL, 60637-1447. NPI Number Oussama Itani MD has the Individual type.

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1083640361 NPI number is provided on an as is basis without warranty of any kind. 1083640361 is maintained by the National Plan & Provider Enumeration System. The contents of Oussama Itani MD are for informational purposes only.