LAITH SOROUR AHMAD SOROUR

EVANSTON, IL
NPI1861171977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.082025)
Enumeration Date2023-07-17
Last Update Date2023-07-17
Business Address
LAITH SOROUR AHMAD SOROUR
355 RIDGE AVE
EVANSTON, IL 60202-3399
Phone number: 224-529-8747
Mailing Address
LAITH SOROUR AHMAD SOROUR
911 ELMWOOD AVE APT G3
EVANSTON, IL 60202-1758
Phone number: 224-529-8747
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