Provider Demographics
NPI:1073846986
Name:OMNAK SERVICES
Entity Type:Organization
Organization Name:OMNAK SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASHIH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-469-8314
Mailing Address - Street 1:1420 RENAISSANCE DR
Mailing Address - Street 2:SUITE 301-C
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1330
Mailing Address - Country:US
Mailing Address - Phone:312-469-8314
Mailing Address - Fax:
Practice Address - Street 1:1420 RENAISSANCE DR
Practice Address - Street 2:SUITE 301-C
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1330
Practice Address - Country:US
Practice Address - Phone:312-469-8314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)