Organization · Type 2 NPI

Omni Primary Care and Aesthetic Medicine SC

Adolescent Medicine (Family Medicine) Physician · Lincolnwood, IL

NPI number 1699025239 Active

Practice location

6501 N Lincoln Ave
Lincolnwood, IL 60712-3925

Fax (847) 739-7219

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000X036122637 (IL)
Pediatrics Physician 208000000XNone listed

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

5 other providers at this address

About NPI 1699025239

Omni Primary Care and Aesthetic Medicine SC's National Provider Identifier is 1699025239, issued on Sep 11, 2012. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Lincolnwood, IL. The record was last updated on Nov 7, 2024.