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Individual
KHALED ABOUSHAALA
Active
Individual
KHALED ABOUSHAALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.010972
IL
363AS0400X
Surgical Physician Assistant
Primary
238.010972
IL
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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