Mohammad Awad Al Khudari, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · New Lenox, IL
- NPI
- 1720151624
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 036051013 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-16
- Last updated
- 2012-05-01
Practice location
1890 Silver Cross Blvd, Suite 330
New Lenox, IL 60451-9508
(815) 717-6082