Al-Heeti, Omar Mohammad

Al-Heeti, Omar Mohammad is an individual health care provider with primary practice located at 304 W Hay St Ste 212 , Decatur IL 62526-6376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Al-Heeti, Omar Mohammad can be contacted via phone (217) 876-4390.

Contact Information

Primary practice address
304 W Hay St Ste 212 Decatur IL 62526-6376
Phone: (217) 876-4390
Fax: (217) 876-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036133842 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036.133842 Illinois

Profile Details

NPI number 1083903645
LBN Legal business name Al-Heeti, Omar Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Sep 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083903645 NPPES
Illinois Other 036133842 MD LICENSE

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