Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ibrahim Dare Omore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245896034

Dr. Ibrahim Dare Omore, MD is a Hematology/Oncology in Carterville, Illinois. Qualified in 2010, 16 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Pin Oak Dr
Carterville, IL 62918-1600
Phone: (618) 985-3333
Fax: (618) 985-1318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 Lenox Avenue, New York, NY 10037 — (212) 939-1000

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 036172695 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245896034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services