Al-Khaled, Nouri

Al-Khaled, Nouri is an individual health care provider with primary practice located at 3545 W 95Th St , Evergreen Park IL 60805-2135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Al-Khaled, Nouri can be contacted via phone (708) 346-5562.

Contact Information

Primary practice address
3545 W 95Th St Evergreen Park IL 60805-2135
Phone: (708) 346-5562
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-096798 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-096798 Illinois

Profile Details

NPI number 1760416713
LBN Legal business name Al-Khaled, Nouri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760416713 NPPES
Illinois MEDICAID 036096798
Illinois Other IL4014003
Illinois Other 0001619074
Illinois Other IL4013003
Illinois Other 685583
Illinois Other 161991361

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