Individual
MOHAMED ALY KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76234
WI
208M00000X
Hospitalist Physician
036153243
IL
208M00000X
Hospitalist Physician
Primary
76234
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184723
—
WI
Enumeration date
04/24/2013
Last updated
10/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us