| Organization Name: | OMEGA COMMUNITY HEALTHCARE ORGANIZATION INC. |
| NPI Number: | 1215107552 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NELIA G LAUREL (AGENT) |
| Mailing Address: | 6326 S Ashland Ave Chicago |
| State: | IL US |
| Postal Code: | 606362725 |
| Phone Number: | 7734360800 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 03/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |