DR. MOHAMMAD AWAD AL KHUDARI


Address: 1890 Silver Cross Blvd, Suite 330, New Lenox, IL 60451-9508
Phone: 8157176082

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 036051013 05

Office Location

Street Address 1890 SILVER CROSS BLVD
SUITE 330
City NEW LENOX
State IL
Zip Code 60451-9508

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City NEW LENOX
Zip Code 60451

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Dataset Information

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.

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