Omar Dalloul (NPI# 1336197367, PAC ID# 6204832868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1336197367 |
| PAC ID by PECOS | 6204832868 |
| Professional Enrollment ID | I20061005000056 |
| Full Name | Omar Dalloul |
| Address |
1860 W Winchester Rd Suite 107 Libertyville IL 60048-5312 |
| Phone Number | 8472471010 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1860 W Winchester Rd, Suite 107, Libertyville, IL 60048-5312 | 8472471010 |
| Street Address |
1860 W WINCHESTER RD SUITE 107 |
| City | LIBERTYVILLE |
| State | IL |
| Zip | 60048-5312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Conway | Psychologist, Clinical | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| Katherine Emerine | Family Medicine | Rosalind Franklin University Health | 1860 W Winchester Rd, Suite 109, Libertyville, IL 60048-5312 |
| Joyce T Muni | Ophthalmology | 1860 W Winchester Rd, Suite 105, Libertyville, IL 60048-5312 | |
| Annette Kathleen Lacey | Psychologist, Clinical | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| David J Ventrelle | Clinical Psychologist | Omni Youth Services, Inc | 1860 W Winchester Rd, Suite 101, Libertyville, IL 60048-5312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
| Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
| Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
| Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
| Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Find all physicians in zip 60048 | |||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
| Specialty | NEPHROLOGY |
| City + Specialty | LIBERTYVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Omar Dalloul.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.