Organization
KIDDOS HEALTH, SC
Active
Other names
Kids Heart Clinic, Kiddos Health and Urgent Care, Axiom Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD KHALED AL-AHDAB (PRESIDENT)
(316) 440-8800
Entity
Organization
Contact information
Practice address
3 YORKTOWN SHOPPING CTR, LOMBARD, IL 60148-5516
(630) 520-5990
(630) 323-9044
Mailing address
3 YORKTOWN SHOPPING CTR, LOMBARD, IL 60148-5516
(630) 520-5990
(630) 323-9044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
036105004
IL
2080P0214X
Pediatric Pulmonology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105004
—
IL
05
—
200096860A
—
OK
05
—
200414260C
—
KS
05
—
201276620A
—
IN
Enumeration date
12/22/2014
Last updated
01/01/2025
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