Individual
DR. IBRAHIM DARE OMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
(618) 985-3333
(618) 985-1318
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036172695
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2019
Last updated
08/07/2025
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