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Contact Information

MOHAMMAD AL KHUDARI, MD
6201 W 95TH ST
OAK LAWN, IL60453-2701
 Phone: 708-636-9393
 Fax: 708-636-2022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MOHAMMAD AL KHUDARI · (Male)

NPI Number 1902891948
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2005
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036103747
  • IL Medicaid 036103747
  • IL Other 56233132500 ADVOCATE HLTH CENTERS ID
  • IL Other 120602 ADVOCATE HLTH PARTNERS ID
  • IL Other 0001633597 BCBS PROVIDER ID
  • IL Other 125181500 OWCP PROVIDER ID
  • IL Other P00053534 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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