# IYAD ALKHOURI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104400191
- **Authorized official:** ERIN L ALENCIKS (OPS DIRECTOR)
- **Authorized official phone:** (630) 363-2044

## Contact information

- **Practice address:** 60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
- **Practice address phone:** (773) 266-6681
- **Mailing address:** 60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
- **Mailing address phone:** (773) 266-6681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021