| Omar Souman, Dmd, P.c. | |
|
6301 Cermak Rd Ste B Berwyn IL 60402-2368 | |
| (708) 956-7516 | |
| Not Available |
| Full Name | Omar Souman, Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6301 Cermak Rd Ste B, Berwyn, Illinois |
| Authorized Official Name and Position | Omar Souman (DENTIST) |
| Authorized Official Contact | 3122834350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Souman, Dmd, P.c. 6301 Cermak Rd Ste B Berwyn IL 60402-2368 Ph: (708) 956-7516 | Omar Souman, Dmd, P.c. 6301 Cermak Rd Ste B Berwyn IL 60402-2368 Ph: (708) 956-7516 |
| NPI Number | 1396024220 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396024220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.028602 (Illinois) | Primary |
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