Provider Demographics
NPI:1225013972
Name:NEHME, OMAR SAID (MD)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:SAID
Last Name:NEHME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 W HARRISON ST STE 207
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3988
Mailing Address - Country:US
Mailing Address - Phone:312-942-5861
Mailing Address - Fax:260-918-2137
Practice Address - Street 1:1725 W HARRISON ST STE 207
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3988
Practice Address - Country:US
Practice Address - Phone:312-942-5861
Practice Address - Fax:260-918-2137
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036164947207RG0100X
IN01049531A207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9115389OtherANTHEM BC/BS
INP00325762OtherRAILROAD MEDICARE
IN000000381391OtherANTHEM BC/BS
IN01049531AOtherSTATE LICENSE
IN01049531BOtherCSR
IN496850MMedicare PIN
IN000000381391OtherANTHEM BC/BS