Ignacio U. Omengan, MD FAAP

Pediatrics Physician · Rockford, IL

Individual Active NPI

NPI number 1912911785

Practice location

461 N Mulford Rd #10
Rockford, IL 61107
Phone
(815) 394-1930
Fax
(815) 395-1064

Open in Google Maps

NPI record

NPI
1912911785
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
March 27, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036101370 IL

Mailing address

461 N Mulford Rd
#10
Rockford, IL 61107-5190
Phone
(815) 394-1930
Fax
(815) 395-1064

About Ignacio Omengan

Ignacio U. Omengan, MD FAAP is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 461 N Mulford Rd #10, Rockford, IL 61107. The NPI number 1912911785 was assigned on July 28, 2006 and the record was last updated on March 27, 2018.

Ignacio Omengan lists a license in the registry: #036101370 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ignacio U. Omengan, MD FAAP?

The NPI number is 1912911785.

What is the phone number of Ignacio Omengan?

The phone number listed for the practice location is (815) 394-1930.

Where is Ignacio Omengan located?

461 N Mulford Rd #10, Rockford, IL 61107.

What is the taxonomy code for Ignacio Omengan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Rockford

All Pediatrics Physician providers in Rockford, IL →