Individual
NOUREDEAN KHRISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-0275
(317) 274-0256
Mailing address
8629 MCVICKER AVE, BURBANK, IL 60459-2511
(708) 238-1227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
06/27/2024
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