Individual
AZZAM M ALKHUDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5669 W 95TH ST STE 3A, OAK LAWN, IL 60453-2382
(708) 634-2627
(630) 246-3166
Mailing address
8S180 S VINE ST, BURR RIDGE, IL 60527-5542
(630) 590-5809
(630) 246-3166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-113149
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-113149
IL
Other
Enumeration date
11/14/2006
Last updated
11/11/2024
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