Omnidoc Health Inc

Organization Active
NPI 1477167112
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Park City, IL

NPI 1477167112 belongs to Omnidoc Health Inc, an urogynecology and reconstructive pelvic surgery (urology) physician with a practice location in Park City, IL. The NPI was issued on September 1, 2020, and the record was last updated in NPPES on December 18, 2021. The record lists 6 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040X Not listed
Family Medicine Physician 207Q00000X Not listed
Internal Medicine Physician 207R00000X Not listed
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X Not listed
Gynecology Physician 207VG0400X Not listed
Urology Physician 208800000X Not listed

Practice locations

351 Greenleaf St Ste E
Park City, IL 60085-5701
Phone: (847) 234-7111
101 Convention Center Dr
Las Vegas, NV 89109-2001
Phone: (847) 234-7111

Local context

Active NPPES records list 2 providers with urogynecology and reconstructive pelvic surgery (urology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 11 in Illinois and 247 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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