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Individual
DR. ALEXANDER JOSEPH KHAMMAR
Active
Individual
DR. ALEXANDER JOSEPH KHAMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
—
IL
207W00000X
Ophthalmology Physician
01058559A
IN
207W00000X
Ophthalmology Physician
036107142
IL
207W00000X
Ophthalmology Physician
Primary
63552
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BC/BS OF IL
IL
05
—
036107142
—
IL
01
—
1083684922
GROUP NPI
IL
05
—
1649256512
—
WI
01
—
180046209
MEDICARE RAILROAD
IL
01
—
200815870
MEDICARE LEGACY PROVIDER NUMBER
IN
01
—
200871680A
MEDICAID LOCATION MUNSTER
IN
01
—
200871680B
MEDICAID LOCATION CHICAGO RIDGE
IN
01
—
200871680C
MEDICAID LOCATION ORLAND PARK
IN
01
—
200871680D
MEDICAID LOCATION HINSDALE
IN
01
—
205785
PTAN MEDICARE COOK COUNTY IL
IL
01
—
205786
MEDICARE DUPAGE CO GRP PTAN
IL
01
—
253350
PTAN MEDICARE GROUP PRACTICE
IN
01
—
DR4230
MEDICARE RAILROAD DUPAGE CO GROUP PTAN
IL
01
—
P00932398
MEDICARE RAILROAD DUPAGE CO INDIVIDUAL PTAN
IL
Enumeration date
12/21/2005
Last updated
03/02/2024
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