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Individual
MOHAMMAD AL-KHUDARI
Active
Individual
MOHAMMAD AL-KHUDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036103747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633597
BCBS PROVIDER ID
IL
05
—
036103747
—
IL
01
—
120602
ADVOCATE HLTH PARTNERS ID
IL
01
—
125181500
OWCP PROVIDER ID
IL
01
—
56233132500
ADVOCATE HLTH CENTERS ID
IL
01
—
P00053534
RAILROAD MEDICARE
IL
Enumeration date
09/15/2005
Last updated
11/25/2024
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