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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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