# KHUDEIRA MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1720332703
- **Authorized official:** ABDULKAREEM KHUDEIRA MD (OWNER)
- **Authorized official phone:** (773) 585-0480

## Contact information

- **Practice address:** 8071 S CICERO AVE, CHICAGO, IL 60652-2003
- **Practice address phone:** (773) 585-0480
- **Practice address fax:** (773) 585-0482
- **Mailing address:** 9405 S OKETO AVE, BRIDGEVIEW, IL 60455-2140
- **Mailing address phone:** (773) 585-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 02/01/2019