SearchIllinois103K00000X

Jing Omahen

NPI 1326480450 · on the registry since 2013 · sole proprietor

Practice

Address
18829 S Vanderbilt Dr
Mokena, IL 60448
Phone
(574) 229-6219

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois