Individual
OMAR MOHAMMAD AL-HEETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 W HAY ST STE 212, DECATUR, IL 62526-6376
(217) 876-4390
(217) 876-4395
Mailing address
304 W HAY ST STE 212, DECATUR, IL 62526-6376
(217) 876-4390
(217) 876-4395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133842
IL
207RI0200X
Infectious Disease Physician
Primary
036.133842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036133842
MD LICENSE
IL
Enumeration date
04/05/2011
Last updated
09/25/2024
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