Individual
DR. OMAR DALLOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 W WINCHESTER RD, STE 107, LIBERTYVILLE, IL 60048-5312
(847) 247-1010
(847) 247-1011
Mailing address
1860 W WINCHESTER RD, STE 107, LIBERTYVILLE, IL 60048-5312
(847) 247-1010
(847) 247-1011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036088845
IL
207RN0300X
Nephrology Physician
Primary
036088845
IL
Other
Enumeration date
05/04/2006
Last updated
03/21/2018
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