Individual provider · Type 1 NPI
Omaimah Sara Mahrat
Family Nurse Practitioner · Chicago, IL
NPI number
1508452764
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022322 (IL) |
| Surgery Physician | 208600000X | 209.022322 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508452764
Omaimah Sara Mahrat's National Provider Identifier is 1508452764, issued on Dec 11, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Nov 27, 2023.