Khudeira Medical Center, Inc

LBN: Khudeira Medical Center, Inc
Khudeira Medical Center, Inc is an health care organization with primary practice located at 8071 S Cicero Ave , Chicago IL 60652-2003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Khudeira Medical Center, Inc can be contacted via phone (773) 585-0480, or through Khudeira, Abdulkareem via phone (773) 585-0480.

Contact Information

Primary practice address
8071 S Cicero Ave Chicago IL 60652-2003
Phone: (773) 585-0480
Fax: (773) 585-0482
Website:
Map and Directions
Authorized official contact:
Name: Khudeira, Abdulkareem Doctor of Medicine (MD)
Phone: (773) 585-0480

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1720332703
LBN Legal business name Khudeira Medical Center, Inc
DBA Doing business as
Authorized official Khudeira, Abdulkareem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2012
Last updated Feb 1st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720332703 NPPES
Illinois MEDICAID 036-085737

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