Individual
MOHAMMAD K OMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Mailing address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125114
IL
207R00000X
Internal Medicine Physician
4301082569
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.125114
IL
207RP1001X
Pulmonary Disease Physician
Primary
036125114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315024288
CONTROLLED SUBSTANCE
MI
Enumeration date
07/04/2006
Last updated
06/05/2025
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