Organization
INFECTIOUS DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMER BADAHMAN MD (PHYSICIAN)
(618) 222-5999
Entity
Organization
Contact information
Practice address
4550 MEMORIAL DR STE 360, BELLEVILLE, IL 62226-5369
(618) 222-5999
(618) 239-9555
Mailing address
1805 KIMBERLY LAKE DR, SWANSEA, IL 62226-2061
(618) 355-9970
(618) 355-9972
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036102100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102100
—
IL
Enumeration date
07/07/2006
Last updated
05/22/2013
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