Individual
TALA AL-KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1009 S WOOD ST, CHICAGO, IL 60612-3747
(312) 996-3937
Mailing address
1009 S WOOD ST, CHICAGO, IL 60612-3747
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036168930
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
05/01/2024
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