Organization
FAMILY EYE PHYSICIANS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AL-KHUDARI MD (PRESIDENT)
(708) 636-9393
Entity
Organization
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-2701
(708) 636-9393
(708) 636-2022
Mailing address
6201 W 95TH ST, OAK LAWN, IL 60453-2701
(708) 636-9393
(708) 636-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009744
IL
207W00000X
Ophthalmology Physician
Primary
036103747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633597
BCBS PROVIDER ID
IL
01
—
120602
ADVOCATE HLTH PARTNERS ID
IL
01
—
125181500
US DEPT OF LABOR
IL
01
—
B0830165
EYEFINITY CLEARING HOUSE
IL
Enumeration date
11/15/2006
Last updated
02/16/2023
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