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Tracy O Omorogieva
Family Nurse Practitioner in Homewood, Illinois
NPI 1003493958

Tracy O Omorogieva is a Family Nurse Practitioner based in Homewood, IL and is specialized in Family. Tracy O Omorogieva practices in Homewood, IL. The NPI Number for Tracy O Omorogieva is 1003493958 and holds a License No. 209.022270 (Illinois).

The current practice location address for Tracy O Omorogieva is 17901 Governors Hwy Ste 206, Homewood, IL and can be reached out via phone at 708-960-4280.

Location: 17901 Governors Hwy Ste 206, Homewood, IL, 60430-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003493958
Provider Name
Tracy O Omorogieva
Credential
Provider Entity Type
Individual
Gender
Female
Address
17901 Governors Hwy Ste 206, Homewood, IL, 60430-1146
Phone Number
708-960-4280
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17901 Governors Hwy Ste 206
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
708-960-4280
Fax Number
person
Provider Business Mailing Address Details
Address
17901 Governors Hwy Ste 206
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
708-960-4280
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.022270 (Illinois)
Definition
Definition to come...
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