Individual
DR. KHALED ABDELHADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612
(312) 996-4942
Mailing address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036115803
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036115803
IL
282N00000X
General Acute Care Hospital
036115803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115803
—
IL
Enumeration date
01/16/2008
Last updated
04/21/2021
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