Awni Omar Daoud
Individual provider Active NPI Prevention Professional · Bridgeview, IL
NPI 1689440877 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1689440877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prevention Professional 405300000X
- License
- D300-0145-8023 (IL)
- Practice address
- 9100 Beloit Ave
Bridgeview, IL 60455-2605 - Phone
- (708) 655-3008
- NPI assigned
- Nov 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D30001458023 | IL | MD | Taxi |
| D300-0145-8023 | IL | MD | Prevention Professional |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | D30001458023 | IL | |
| Taxi | 344600000X | |||
| Prevention Professional | 405300000X | D300-0145-8023 | IL | Yes |
Addresses
Primary practice location
9100 Beloit Ave
Bridgeview, IL 60455-2605
Mailing address
9100 Beloit Ave
Bridgeview, IL 60455-2605
Phone (708) 655-3008
Other providers in Bridgeview, IL
- Daif Consulting LLC
- Dajani Dental Services, P.C.
- Nadia A Dajani
- Waleed A Dajani
- Dakl Management Solutions LLC
- Lydia Dawahir
- Leonor Elizabeth Delgadillo
- Eastern Podiatry PLLC
- Eman M Elbia
- Elmusa Chiropractic, Inc.
All providers in Bridgeview, IL · Prevention Professional in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.