Most Relevant Information
Provider Data
| NPI Number: | 1003389685 |
| Provider Name: | BUTHINA NOURI |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/07/2019 |
| Last Updated: | 04/08/2019 |
Provider Practice Location
6255 CARRIAGE WAY
OAK FOREST
IL
604526026
Practice Location Phone/Fax
| Phone: | 7085660405 |
| Fax: |
Provider Mailing Location
6255 CARRIAGE WAY
OAK FOREST
IL
604526026
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |