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Organization
AVICENNA CHILDREN INSTITUTE LLC
Active
Organization
AVICENNA CHILDREN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYAD ALKHOURI MD (OWNER/AUTHORIZED OFFICIAL)
(630) 749-7107
Entity
Organization
Contact information
Practice address
920 N YORK RD STE 200, HINSDALE, IL 60521-8626
(630) 749-7107
(630) 749-7119
Mailing address
920 N YORK RD STE 200, HINSDALE, IL 60521-8626
(630) 749-7107
(630) 749-7119
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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