Dr Eyas O Othman, MD is a
Otolaryngology physician based in Harvey, Illinois. Dr Eyas O Othman is licensed to practice in Illinois (license number 036108069) and his current practice location is 71 W 156th St, Suite 107, Harvey, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 333-0730.
NPI number for Dr Eyas O Othman is 1215937636 and his current mailing address is Po Box 1119, Matteson, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215937636.
Physician's Profile
| Full Name | Dr Eyas O Othman |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 71 W 156th St, Harvey, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215937636
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 11/25/2009
Medical Identifiers
Medical identifiers for Dr Eyas O Othman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215937636 | NPI | - | NPPES |
| 036108069 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 036108069 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eyas O Othman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eyas O Othman, MD
Po Box 1119,
Matteson, IL 60443-4119
Ph: (708) 747-5850 | Dr Eyas O Othman, MD
71 W 156th St, Suite 107,
Harvey, IL 60426-4260
Ph: (708) 333-0730 |
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