Alkhawaldeh, Lara

Alkhawaldeh, Lara is an individual health care provider with primary practice located at 1621 N Sayre Ave , Chicago IL 60707-4322. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Alkhawaldeh, Lara can be contacted via phone (708) 543-4519.

Contact Information

Primary practice address
1621 N Sayre Ave Chicago IL 60707-4322
Phone: (708) 543-4519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01079976A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01079976A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125067573 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036144150 Illinois

Profile Details

NPI number 1982081543
LBN Legal business name Alkhawaldeh, Lara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Jun 7th, 2024 - about 6 months 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 1982081543 NPPES
Indiana MEDICAID 300021101

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