Al-Khudari, Mohammad

Al-Khudari, Mohammad is an individual health care provider with primary practice located at 6201 W 95Th St , Oak Lawn IL 60453-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Al-Khudari, Mohammad can be contacted via phone (708) 636-9393.

Contact Information

Primary practice address
6201 W 95Th St Oak Lawn IL 60453-2701
Phone: (708) 636-9393
Fax: (708) 636-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036103747 Illinois

Profile Details

NPI number 1902891948
LBN Legal business name Al-Khudari, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 16th, 2023 - about 2 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 1902891948 NPPES
Illinois MEDICAID 036103747
Illinois Other 120602
Illinois Other 56233132500
Illinois Other P00053534
Illinois Other 125181500
Illinois Other 0001633597

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