Individual provider · Type 1 NPI
Latifa Omran
Technician/Technologist · Urbana, IL
NPI number
1417419045
Active
Practice location
1400 W Park St
Urbana, IL 61801-2334
Mailing address
3103 Sandhill Ln
Champaign, IL 61822-6180
Other practice locations
- 555 W Court St, Kankakee, IL 60901-3664 · (815) 937-5521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | None listed |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
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About NPI 1417419045
Latifa Omran's National Provider Identifier is 1417419045, issued on Apr 2, 2019. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Urbana, IL. The record was last updated on Apr 2, 2019.