Organization
ADULT AND PEDIATRIC EYE SPECIALISTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AL-KHUDARI MD (OWNER)
(219) 836-9800
Entity
Organization
Contact information
Practice address
509 RIDGE RD, SUITE #3, MUNSTER, IN 46321-1643
(219) 836-9800
Mailing address
9336 FALLING WATERS DR W, BURR RIDGE, IL 60527-6889
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/29/2011
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