DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OMAR DALLOUL, M.D.

Active Sole Proprietor

DR. OMAR DALLOUL, M.D. is a Nephrology healthcare provider located in LIBERTYVILLE, Illinois. NPI 1336197367 is currently active in the NPPES registry. Verify at CMS.

Nephrology · LIBERTYVILLE, IL

Registration Details

NPI Number
1336197367
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2006 (20.295407391214 yrs)
Last Updated
Mar 21, 2018
Licenses
036088845 (IL)
036088845 (IL)
Sole Proprietor
Yes

Practice Information

Address
1860 W WINCHESTER RD
STE 107
LIBERTYVILLE, IL, 600485312
Browse IL providers · Browse ZIP 60048
Phone
8472471010
Fax
8472471011
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology

Other Nephrology Providers in LIBERTYVILLE, IL

Name Credential NPI
DR. GEORGE R HVOSTIK MD 1023015021
JOSHUA ROBERT TROB M.D. 1548217144
JAWAD MUNIR M.D 1851433429
DR. MARIA S. KHAN M.D. 1548476773
DR. ANCA IOANA ZEGREAN M.D. 1508009416
DR. MUSSIE BERAKI M.D. 1679898969
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.