Individual
BISHARA ROBERT KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3545 ARBOR BLVD STE E, PORTAGE, IN 46368
(219) 947-6920
(219) 947-6921
Mailing address
53 SHEFFIELD LN, OAK BROOK, IL 60523-2353
(331) 645-6029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005157A
IN
Other
Enumeration date
04/30/2015
Last updated
03/25/2023
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