| NPI | 1306663893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD AL-KHUDARI Md 815-557-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
| 207WX0107X Ophthalmology, Retina Specialist | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease | |
| 207WX0109X Ophthalmology, Neuro-ophthalmology | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |