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Individual

ABRAHAM SAMIR KHEIREDDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 323-6116
(630) 323-5610
Mailing address
250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009053
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085-009053
STATE LICENSE
IL
Enumeration date
06/12/2020
Last updated
07/31/2026
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