Individual
TAHANIE K OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14521 S MUSTANG DR, HOMER GLEN, IL 60491-6926
(708) 979-6377
Mailing address
14521 S MUSTANG DR, HOMER GLEN, IL 60491-6926
(708) 979-6377
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041.445539
IL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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