Individual
MICHAEL Z KHAROUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-7076
Mailing address
700 COMMERCE DR, STE 500, OAK BROOK, IL 60523-8736
(630) 205-6612
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036159163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036159163
STATE LICENSE
IL
Enumeration date
03/22/2017
Last updated
02/25/2025
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