Otaibi, Wael Mohammad

Otaibi, Wael Mohammad is an individual health care provider with primary practice located at 1770 E Lake Shore Dr Ste 105 , Decatur IL 62521-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Otaibi, Wael Mohammad can be contacted via phone (217) 329-1000.

Contact Information

Primary practice address
1770 E Lake Shore Dr Ste 105 Decatur IL 62521-3800
Phone: (217) 329-1000
Fax: (217) 329-1055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 254927 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101015634 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.011232 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 036150787 Illinois

Profile Details

NPI number 1255452124
LBN Legal business name Otaibi, Wael Mohammad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 15th, 2019 - about 5 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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