DR. MOHAMMAD AWAD AL KHUDARI (NPI# 1720151624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720151624 |
Entity Type | Individual |
Full Name | DR. MOHAMMAD AWAD AL KHUDARI |
Credential | MD |
Practice Address |
1890 Silver Cross Blvd Suite 330 New Lenox IL 60451-9508 |
Practice Telephone | 8157176082 |
Practice Fax Number | 8157178693 |
Mailing Telephone | 8157176082 |
Mailing Fax Number | 8157178693 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-05-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 036051013 | IL | Allopathic & Osteopathic Physicians |
N | 207V00000X | Obstetrics & Gynecology | 3651013 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036051013 | 05 |
Street Address |
1890 SILVER CROSS BLVD SUITE 330 |
City | NEW LENOX |
State | IL |
Zip Code | 60451-9508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841289691 | Mohammad Ashraf Toor | Internal Medicine | 1890 Silver Cross Blvd, Ste 320, New Lenox, IL 60451-9508 | 2005-10-14 |
1194373662 | Alyssa M Monsivais | Advanced Practice Midwife | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2019-08-28 |
1346775574 | Andrew Hatfield | Nurse Practitioner | 1890 Silver Cross Blvd, Suite 570, New Lenox, IL 60451-9524 | 2017-04-25 |
1104367655 | Julia Grace Bania | Nurse Practitioner | 1890 Silver Cross Blvd, #210, New Lenox, IL 60451-9524 | 2017-03-16 |
1407390743 | Alison Barna | General Acute Care Hospital | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-12-06 |
1215479621 | Lisa Abu-samra | Advanced Practice Midwife | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-11-16 |
1841746567 | Becky Strilko | Registered Nurse | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-09-01 |
1114370517 | Zafer Jawich Md Sc | Clinic/Center | 1890 Silver Cross Blvd, Ste 350, New Lenox, IL 60451-9524 | 2016-07-20 |
1154793412 | Forefront Dermatology, S.c. | Dermatology | 1890 Silver Cross Blvd, Suite 505, New Lenox, IL 60451 | 2015-10-27 |
1154704104 | Maria Wemple | Physician Assistant | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2015-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
Find all providers in zip 60451 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
1114392354 | All About Womens Health Obgyn & Midwifery LLC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 330, New Lenox, IL 60451-9528 | 2015-12-12 |
1952542490 | Mohammad Alkhudari Ltd | Obstetrics & Gynecology | 1890 Silver Cross Blvd, Suite 330, New Lenox, IL 60451-9508 | 2009-03-12 |
1356590582 | Nicole M Gress | Obstetrics & Gynecology | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2008-09-11 |
1942464789 | Edgar Delcastillo | Obstetrics & Gynecology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2008-07-10 |
1134328644 | Jeffrey J Williams | Obstetrics & Gynecology | 305 Vine St, New Lenox, IL 60451-1666 | 2007-07-13 |
1295894616 | Partners In Obstetrics & Womens Health | Obstetrics & Gynecology | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2006-12-08 |
1841385259 | Hysoo Ka-widmann | Obstetrics & Gynecology | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2006-10-03 |
1104928498 | Nahla O. Merhi | Obstetrics & Gynecology | 1890 Silver Cross Blvd., Suite #375, New Lenox, IL 60451 | 2006-09-05 |
1750398095 | Gamilah N. Pierre | Obstetrics & Gynecology | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2006-08-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.