Individual provider · Type 1 NPI

Omar Ahmed Rafa, DO

Student in an Organized Health Care Education/Training Program · Kankakee, IL

NPI number 1407596752 Active

Practice location

500 N Wall St Ste C100
Kankakee, IL 60901-2942

Call (844) 404-4787 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125.086172 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407596752

Omar Ahmed Rafa, DO's National Provider Identifier is 1407596752, issued on Apr 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kankakee, IL. The record was last updated on Mar 9, 2026.