Individual
KHALID AL-KHAFAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
624 SHERIDAN RD, APT# 3A, HIGHWOOD, IL 60040-1055
(832) 450-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.065337
IL
207RC0000X
Cardiovascular Disease Physician
01085781A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
036142953
IL
208M00000X
Hospitalist Physician
036.142953
IL
Other
Enumeration date
07/05/2014
Last updated
05/25/2022
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