Individual
DR. IGNACIO U OMENGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FAAP
Contact information
Practice address
461 N MULFORD RD #10, ROCKFORD, IL 61107
(815) 394-1930
(815) 395-1064
Mailing address
461 N MULFORD RD, #10, ROCKFORD, IL 61107-5190
(815) 394-1930
(815) 395-1064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036101370
IL
Other
Enumeration date
07/28/2006
Last updated
03/27/2018
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