NPI 1174255053

Osama Al Deyabat, MBBS

Practitioner Pediatric Ophthalmology and Strabismus Specialist Physician Peoria, IL

Practice location

Address: 4927 N Glen Park Place Rd, Peoria, IL 61614-4676
Phone: (309) 308-3500
Mailing address: 1601 W Coneflower Dr APT 4302, Peoria, IL 61615-7438

Registered specialties (3)

Pediatric Ophthalmology and Strabismus Specialist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0110X Licence 036171176 (IL)

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Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 036171176 (IL)

Neuro-ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207WX0109X Licence 036171176 (IL)

Registry record

NPI: 1174255053
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2022
Record last updated: 23 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.