Omni Primary Care And Aesthetic Medicine Sc
LBN: Omni Primary Care And Aesthetic Medicine Sc
Omni Primary Care And Aesthetic Medicine Sc is an health care organization with primary practice located at 6501 N Lincoln Ave , Lincolnwood IL 60712-3925. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty.
Omni Primary Care And Aesthetic Medicine Sc can be contacted via phone (847) 242-1001, or through Siddiqui, Juwari Osmani via phone (847) 242-1001.
Contact Information
Primary practice address
6501 N Lincoln Ave
Lincolnwood IL 60712-3925
Phone: (847) 242-1001
Fax: (847) 739-7219
Website:
Authorized official contact:
Name: Siddiqui, Juwari Osmani Doctor of Medicine (MD)
Phone: (847) 242-1001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 036122637 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1699025239 |
|---|---|
| LBN Legal business name | Omni Primary Care And Aesthetic Medicine Sc |
| DBA Doing business as | |
| Authorized official | Siddiqui, Juwari Osmani Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Sep 11th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699025239 | NPPES |
| Illinois | MEDICAID | 036122637 |
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