Individual
ALI KHALIL CHUKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1922 MONROE ST, DEARBORN, MI 48124-2917
(616) 949-2600
Mailing address
5262 STEADMAN ST, DEARBORN, MI 48126-3089
(313) 442-2915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005812
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2024
Last updated
02/06/2026
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