Individual
JALAL KHATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1546 BROADWAY ST, BLUE ISLAND, IL 60406-2708
(708) 377-6618
Mailing address
15720 CENTRAL AVE APT 4, OAK FOREST, IL 60452-3235
(708) 710-7930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005851
IL
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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