Individual
EDGARD KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, DEPT OF ANESTHESIA, ELK GROVE VILLAGE, IL 60007-3311
(847) 437-5500
(847) 981-5589
Mailing address
800 BIESTERFIELD RD, DEPT OF ANESTHESIA, ELK GROVE VILLAGE, IL 60007-3311
(847) 495-1603
(847) 537-4866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036078210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161919966
BLUE SHIELD
IL
05
—
036078210 1
—
IL
01
—
050028402
RAILROAD MEDICARE
IL
01
—
131983700
US DEPT OF LABOR WC
IL
Enumeration date
01/02/2007
Last updated
07/08/2007
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