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Contact Information

OMSIAH ALGHADBAN
11952 S HARLEM AVE STE 200A
PALOS HEIGHTS, IL60463-1390
 Phone: 708-497-9481
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for OMSIAH ALGHADBAN · (Female)

NPI # 1396418513
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2021
Last updated 07/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 178016947
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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