Provider Demographics
NPI:1598641516
Name:OSMAN, EIMAN OMER AHMED (DDS)
Entity type:Individual
Prefix:DR
First Name:EIMAN
Middle Name:OMER AHMED
Last Name:OSMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E SOUTH WATER ST APT 3106
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-4070
Mailing Address - Country:US
Mailing Address - Phone:424-535-8707
Mailing Address - Fax:
Practice Address - Street 1:4721 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-3001
Practice Address - Country:US
Practice Address - Phone:773-847-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019036344122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist