Provider Demographics
NPI:1104143510
Name:MAHDI BABIKIR, OSMAN SALIH (MD)
Entity type:Individual
Prefix:DR
First Name:OSMAN
Middle Name:SALIH
Last Name:MAHDI BABIKIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11141 LAUREL HILL DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-8703
Mailing Address - Country:US
Mailing Address - Phone:773-704-3493
Mailing Address - Fax:
Practice Address - Street 1:9515 HOLY CROSS LN STE 175
Practice Address - Street 2:
Practice Address - City:BREESE
Practice Address - State:IL
Practice Address - Zip Code:62230-3618
Practice Address - Country:US
Practice Address - Phone:618-636-2261
Practice Address - Fax:618-526-7275
Is Sole Proprietor?:No
Enumeration Date:2010-04-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49317208600000X
390200000X
IL036144567208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program