Organization
KHUDEIRA MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKAREEM KHUDEIRA MD (OWNER)
(773) 585-0480
Entity
Organization
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
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-085737
—
IL
Enumeration date
10/30/2012
Last updated
02/01/2019
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