KHALED MITWALLY

SPRINGFIELD, IL
NPI1821920539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.088049)
Enumeration Date2026-05-29
Last Update Date2026-06-08
Business Address
KHALED MITWALLY MD
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
Mailing Address
KHALED MITWALLY MD
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number:
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