Omar, Iyad S

Omar, Iyad S is an sole proprietor health care provider with primary practice located at 2803 W 95Th St , Evergreen Park IL 60805-2702. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Omar, Iyad S can be contacted via phone (708) 425-1134.

Contact Information

Primary practice address
2803 W 95Th St Evergreen Park IL 60805-2702
Phone: (708) 425-1134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020013964 Illinois

Profile Details

NPI number 1912379017
LBN Legal business name Omar, Iyad S
Credentials R.D.H, B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 10 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.

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