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1528492360
IDRIS OMOSANYA
CHICAGO, IL
NPI
1528492360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070019896)
Enumeration Date
2013-08-28
Last Update Date
2019-02-26
Business Address
Dr. IDRIS OMOSANYA PT, DPT
1750 E 87TH ST STE 103
CHICAGO, IL 60617-2706
Phone number: 708-268-0862
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Mailing Address
Dr. IDRIS OMOSANYA PT, DPT
1750 E 87TH ST STE 103
CHICAGO, IL 60617-2706
Phone number: 800-618-6612
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