Individual
DR. ABDULKAREEM KHUDEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8071 S CICERO AVE, CHICAGO, IL 60652-2003
(773) 585-0480
(773) 585-0482
Mailing address
9405 S OKETO AVE, BRIDGEVIEW, IL 60455-2140
(773) 585-0480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016331133
BCBS
IL
05
—
036085737
—
IL
01
—
DV7404
RAILROAD GRP
IL
01
—
IL8043
MEDICARE GRP
IL
01
—
IL8043001
MEDICARE IND
IL
01
—
P00183246
RAILROAD IND
IL
Enumeration date
06/22/2006
Last updated
07/21/2022
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