Ignacio Omengan
Pediatric Adolescent Medicine
Ignacio Omengan is a Rockford, Illinois based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
461 N Mulford Rd, Suite #10, Rockford, Illinois - 61107-5190. They can be contacted on phone at
815-394-1930 and fax number 815-395-1064.
NPI number (Unique professional ID) for Ignacio Omengan is
1689848541 which was assigned by NPPES on 22 Apr, 2008 and it was last updated on 22 Apr, 2008.
Ignacio Omengan license number is
036101370 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Ignacio Omengan specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Ignacio Omengan basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Ignacio Omengan |
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Business Address:
Ignacio Omengan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 461 N Mulford Rd, Suite #10
Rockford, IL, 61107-5190
United States |
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| Phone Number : | 815-394-1930 |
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| Fax Number : | 815-395-1064 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689848541 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Apr, 2008 |
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| Last Updated On : | 22 Apr, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Ignaciouy Omengan |
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| Authorized Official Credential : | M.D., F.A.A.P. |
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| Official Title or Position : | DOCTOR/OWNER |
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| Phone Number : | 815-394-1930 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ignacio Omengan are as mentioned. Primary taxonomy code for Ignacio Omengan is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036101370 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 461 N Mulford Rd, Suite #10
Rockford, IL, 61107-5190
United States |
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| Phone Number : | 815-394-1930 |
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| Fax Number : | 815-395-1064 |
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Business Location:
Patients can refer following map for directions to
Ignacio Omengan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.