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

Individual provider Internal Medicine Physician · NPI 1336197367

Dr. Omar Dalloul, MD is a Nephrology in Libertyville, Illinois. Qualified in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
45
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1860 W Winchester Rd Ste 107
Libertyville, IL 60048-5312
Phone: (847) 247-1010
Fax: (847) 247-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036088845 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036088845 (IL)

Record details

NPI number1336197367
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 21, 2018
Mailing address1860 W Winchester Rd, Ste 107, Libertyville, IL 60048-5312

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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