OMAR AHMED RAFA

KANKAKEE, IL
NPI1407596752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.086172)
Enumeration Date2022-04-01
Last Update Date2026-03-09
Business Address
OMAR AHMED RAFA DO
500 N WALL ST STE C100
KANKAKEE, IL 60901-2942
Phone number: 844-404-4787
Mailing Address
OMAR AHMED RAFA DO
500 N WALL ST STE C100
KANKAKEE, IL 60901-2942
Phone number: 844-404-4787
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