Eltayeb, Osama M.
Eltayeb, Osama M. is an individual health care provider with primary practice located at 225 E Chicago Avenue, Box 22 Ann & Robert H. Lurie Childrens Hospital Of Chicago, Chicago IL 60611-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Eltayeb, Osama M. can be contacted via phone (312) 227-4240.Contact Information
Primary practice address
225 E Chicago Avenue, Box 22 Ann & Robert H. Lurie Childrens Hospital Of Chicago
Chicago IL 60611-2991
Phone: (312) 227-4240
Fax: (312) 227-9643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036128558 | Illinois |
Profile Details
NPI number | 1336111681 |
---|---|
LBN Legal business name | Eltayeb, Osama M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jun 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336111681 | NPPES |
Illinois | Other | 036128558 | STATE LICENSE |
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