Individual provider · Type 1 NPI
Tahanie K. Omar
Medical-Surgical Registered Nurse · Homer Glen, IL
NPI number
1801762471
Active
Practice location
14521 S Mustang Dr
Homer Glen, IL 60491-6926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 041.445539 (IL) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1801762471
Tahanie K. Omar's National Provider Identifier is 1801762471, issued on Oct 13, 2025. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Homer Glen, IL. The record was last updated on Oct 13, 2025.