Individual
OMER M BADAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226-5363
(618) 233-2220
Mailing address
4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226-5363
(618) 233-2220
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036102100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932056
BCBS OF IL
IL
05
—
036102100
—
IL
Enumeration date
01/20/2006
Last updated
02/05/2021
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