Individual provider · Type 1 NPI

Omar S. Shalakhti

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

NPI number 1508764234 Active

Practice location

1620 W Harrison St
Chicago, IL 60612-3801

Mailing address

1101 W Van Buren St
Chicago, IL 60607-3228

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1508764234

Omar S. Shalakhti's National Provider Identifier is 1508764234, issued on Oct 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Oct 31, 2026.