Organization
OMAHA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE O CHANLATTE-GARCIA MD (PRESIDENT)
(402) 588-0678
Entity
Organization
Contact information
Practice address
9015 ARBOR ST STE 144, OMAHA, NE 68124-2072
(402) 588-0678
(402) 588-0678
Mailing address
9015 ARBOR ST STE 144, OMAHA, NE 68124-2072
(402) 588-0678
(531) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
10/28/2025
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