MEDICARE: OMAR MARWAN HAMOUI 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	207RI0011X	Interventional Cardiology Physician	036155258	IL
2	207RC0000X	Cardiovascular Disease Physician	036155258	IL
3	207RI0011X	Interventional Cardiology Physician	ME109404	FL

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	:	1992058333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR MARWAN HAMOUI MD

Provider Business Mailing Address
First Line	:	229 PARK AVE
Second Line	:
City	:	CLARENDON HILLS
State	:	IL
Zip	:	60514-1372
Country	:	US
Telephone Number	:	904-909-1801
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 W DIVISION ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3093
Country	:	US
Telephone Number	:	773-326-2244
Fax Number	:

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

Provider Enumeration Date	:	10/23/2012
Last Update Date	:	05/26/2026

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