| Osama K. Atieh Mdsc | |
|
12050 S Harlem Ave Unit B Palos Heights IL 60463-1470 | |
| (708) 361-5788 | |
| (708) 361-5508 |
| Full Name | Osama K. Atieh Mdsc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12050 S Harlem Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Osama Khairy Atieh (PRESIDENT) |
| Authorized Official Contact | 7083615788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osama K. Atieh Mdsc 12050 S Harlem Ave Unit B Palos Heights IL 60463-1470 Ph: (708) 361-5788 | Osama K. Atieh Mdsc 12050 S Harlem Ave Unit B Palos Heights IL 60463-1470 Ph: (708) 361-5788 |
| NPI Number | 1679631444 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 02/01/2010 |
| Medicare PECOS PAC ID | 4486697257 |
|---|---|
| Medicare Enrollment ID | O20050603000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679631444 | NPI | - | NPPES |
| 036086966 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036086966 (Illinois) | Primary |
| Provider Name | Osama K Atieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083821565 PECOS PAC ID: 5294778064 Enrollment ID: I20050603000139 |
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