1. Home
  2. Directory
  3. Illinois
  4. Kankakee
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

OMAR AHMED RAFA DO
NPI 1407596752
Student in an Organized Health Care Education/Training Program in Kankakee, IL

Active since April 01, 2022
500 N WALL ST STE C100, KANKAKEE, IL 60901(844) 404-4787 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omar Ahmed Rafa Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR AHMED RAFA DO (NPI 1407596752) is an individual student in an organized health care education/training program in Kankakee, Illinois, licensed in Illinois (125.086172) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1407596752
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR AHMED RAFACredential: DO
Location Address500 N WALL ST STE C100Kankakee, IL 60901-2942
Mailing Address500 N Wall St Ste C100Kankakee, IL 60901-2942 · (844) 404-4787
Phone(844) 404-4787
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1407596752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125.086172
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 N WALL ST STE C100, Kankakee, IL 60901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY N PERREAULT NP-C
Nurse Practitioner (Family)
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
MRS. SHANNON GREENQUIST FNP-BC
Nurse Practitioner (Family)
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
DR. TARUN JAIN MD
Internal Medicine (Interventional Cardiology)
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
MRS. JENNIFER LYNN DOLE APRN, CCNS-BC
Nurse Practitioner (Critical Care Medicine)
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (815) 933-4400
VIVEK VANKAYALA REDDY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
ERICA TERNIG-GRECO PHARMD
Pharmacist
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787
DANIELA ECHEVERRI IDROBO
Registered Nurse
500 N WALL ST STE C100
KANKAKEE, IL 60901
Kankakee County (844) 404-4787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Rafa's NPI number?

The NPI number for Omar Rafa is 1407596752. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Omar Rafa located?

Omar Rafa practices at 500 N Wall St Ste C100, Kankakee, IL 60901. The listed phone number is (844) 404-4787.

What is Omar Rafa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Omar Rafa was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.