National Provider Identifier Database

NIZAR KHERALLAH, MD – NPI #1669467726
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

NIZAR KHERALLAH, MD
530 NE GLEN OAK AVE DEPT OF
PEORIA, IL61637-2673
Phone: 309-624-9844
Fax: 309-624-9844
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X

* Indicates primary specialty

NPI Profile & details for NIZAR KHERALLAH

NPI Number 1669467726
Credentials MD
Entity Individual
Enumeration date 09/15/2005
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 35072648
  • OH Medicaid: 2122661
Hospital affiliation n/a

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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