Organization
IYAD M ALKHOURI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMI CHOWDHARY (BILLING/CREDENTIALING MANAGER)
(630) 846-1644
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE, CHICAGO, IL 60601-3901
(630) 846-1644
(847) 440-2641
Mailing address
333 N MICHIGAN AVE, CHICAGO, IL 60601-3901
(630) 846-1644
(847) 440-2641
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2084P0800X
MI
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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