| Omso Medical Ltd | |
|
5435 Bull Valley Rd Suite 218 Mchenry IL 60050-7435 | |
| (815) 578-0224 | |
| (815) 578-0525 |
| Full Name | Omso Medical Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 5435 Bull Valley Rd, Mchenry, Illinois |
| Authorized Official Name and Position | Oscar Mauricio Sanchez (PRESIDENT) |
| Authorized Official Contact | 8155780224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omso Medical Ltd 5435 Bull Valley Rd Ste 218 Mchenry IL 60050-7435 Ph: (815) 578-0224 | Omso Medical Ltd 5435 Bull Valley Rd Suite 218 Mchenry IL 60050-7435 Ph: (815) 578-0224 |
| NPI Number | 1104948991 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4284648817 |
|---|---|
| Medicare Enrollment ID | O20060202000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104948991 | NPI | - | NPPES |
| 036095395 | Medicaid | IL | |
| 36095395 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36095395 (Illinois) | Primary |
| Provider Name | Oscar Mauricio Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164426094 PECOS PAC ID: 6002856952 Enrollment ID: I20050510000596 |
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