Provider Demographics
NPI:1891412276
Name:TIRMIZI, UMAR (SA-C)
Entity Type:Individual
Prefix:
First Name:UMAR
Middle Name:
Last Name:TIRMIZI
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 YORKTOWN SHOPPING CTR UNIT 362
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5636
Mailing Address - Country:US
Mailing Address - Phone:630-785-7466
Mailing Address - Fax:
Practice Address - Street 1:2011 YORK RD STE 3000
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2156
Practice Address - Country:US
Practice Address - Phone:630-785-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant