Provider Demographics
NPI:1053503490
Name:THE OMS, LTD
Entity Type:Organization
Organization Name:THE OMS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SENIOR SCIENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONIBEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-762-2959
Mailing Address - Street 1:300 W ADAMS ST
Mailing Address - Street 2:SUITE 835
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-5101
Mailing Address - Country:US
Mailing Address - Phone:312-762-2959
Mailing Address - Fax:
Practice Address - Street 1:300 W ADAMS ST
Practice Address - Street 2:SUITE 835
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-5101
Practice Address - Country:US
Practice Address - Phone:312-762-2959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health