NACER KHENOUCHE, CPO, Orthotist OAK LAWN, IL

Contact Information

NACER KHENOUCHE, CPO

4710 W 95TH ST
SUITE 11
OAK LAWN, IL 60453-2546

Phone: 708-529-0753
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Orthotist	222Z00000X	55	Individual Certified Orthotist
Prosthetist	224P00000X	56	Individual Certified Prosthetist

Indicates primary specialty

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NPI Profile & details for NACER KHENOUCHE · (Male)

NPI #	`1093123994`
Status	Active
Credentials	CPO
Entity	Individual
Enumeration date	07/24/2014
Last updated	07/24/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	IL License # 211.000279 IL License # 213.000316
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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NACER KHENOUCHE, CPO – NPI #1093123994Orthotist

Contact Information

Specialty

Orthotist

Prosthetist

NPI Profile & details for NACER KHENOUCHE · (Male)

Reviews for NACER KHENOUCHE

NACER KHENOUCHE, CPO – NPI #1093123994
Orthotist