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1669467726
NIZAR KHERALLAH
PEORIA, IL
NPI
1669467726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: OH 35072648)
Enumeration Date
2005-09-15
Last Update Date
2018-03-17
Business Address
Dr. NIZAR KHERALLAH MD
530 NE GLEN OAK AVE DEPT OF
PEORIA, IL 61637-2673
Phone number: 309-624-9844
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Mailing Address
Dr. NIZAR KHERALLAH MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-4542
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