Individual
RAGHAD KHERALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC3083, CHICAGO, IL 60637-1443
(773) 834-7708
(773) 834-7644
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125078781
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2021
Last updated
06/26/2021
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