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Search › Illinois › 225100000X

Idris Omosanya, PT, DPT

NPI 1528492360 · on the registry since 2013 · sole proprietor

Practice

Address
1750 E 87th St Ste 103
Chicago, IL 60617
Phone
(708) 268-0862
Fax
(708) 218-9112
Organisation at this address
Integracare
Trueway Phlebotomy
Chindika Healthcare Inc.
Essential Health Support
Peoples Homecare Agency Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois