MEDICARE: OMER ABID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	036114872	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174539464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMER ABID MD

Provider Business Mailing Address
First Line	:	1820 RIDGE RD
Second Line	:	STE 102
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1760
Country	:	US
Telephone Number	:	708-647-7550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 RIDGE RD
Second Line	:	STE 102
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1760
Country	:	US
Telephone Number	:	708-647-7550
Fax Number	:	708-647-7564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/15/2008

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Directions to “ OMER ABID MD” Practice Location

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