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

Omar Ahmed Rafa, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407596752

Omar Ahmed Rafa, DO is a Student in an Organized Health Care Education/Training Program in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 N Wall St Ste C100
Kankakee, IL 60901-2942
Phone: (844) 404-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 125.086172 (IL)

Record details

NPI number1407596752
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address500 N Wall St Ste C100, Kankakee, IL 60901-2942

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