Russell I Khater (NPI# 1306904131, PAC ID# 3779609771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1306904131 |
PAC ID by PECOS | 3779609771 |
Professional Enrollment ID | I20100928000746 |
Full Name | Russell I Khater |
Address |
1106 N Larkin Joliet IL 60435-3483 |
Gender | M |
Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Secondary Specialties | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
140007 | PRESENCE SAINT JOSEPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1106 N Larkin, Joliet, IL 60435-3483 |
Street Address |
1106 N LARKIN |
City | JOLIET |
State | IL |
Zip | 60435-3483 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ankur Sharma | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
Naila I Ahmed | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
Zdzislawa T Majka-kravets | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
Aaron Gurfinchel | Internal Medicine | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
Mahwesh Javed | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
Preeti R Nagarkatte | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
Muneeb Qadri | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
Azeem M Ahsan | Family Medicine | 1640 Willow Circle Dr, Suite 100, Crest Hill, IL 60435-0960 | |
Joseph A Moreno | Optometry | Rosin Optical Co Inc | 2820 Plainfield Rd, Joliet, IL 60435-1167 |
Michael T Rager | Chiropractic | 2405 Essington Rd J, Joliet, IL 60435-1225 | |
Find all physicians in zip 60435 |
City | JOLIET |
Zip Code | 60435 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | JOLIET + OBSTETRICS/GYNECOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.