Organization
NORTHWEST HEALTH CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD KHAMIS MD (PRESIDENT)
(773) 353-5047
Entity
Organization
Contact information
Practice address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 353-5047
Mailing address
8642 W BERWYN AVE UNIT 2N, CHICAGO, IL 60656-2432
(773) 353-5047
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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