| NPI | 1952542490 |
|---|---|
| Former Legal Business Name | MOHAMMAD A. AL-KHUDARI MD |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A. AL-KHUDARI Owner/Pres 815-717-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 3651013) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2012-04-19 |