Nala Al-Khatib, MD
Individual provider Active NPI Pediatrics Physician · Chicago, IL
NPI 1053988931 · NPPES record last updated Jul 10, 2025
Key facts
- NPI
- 1053988931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 125.085726 (IL)
- Practice address
- 1645 W Jackson Blvd Ste 200
Chicago, IL 60612-3227 - Phone
- (312) 942-2200
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715001003 | IL | Order and Referring Only - Pediatric Medicine |
8628583093 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.085726 | IL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Pediatrics Physician | 208000000X | 125.085726 | IL | Yes |
Addresses
Primary practice location
1645 W Jackson Blvd Ste 200
Chicago, IL 60612-3227
Mailing address
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Other providers in Chicago, IL
- Mohamed M.H. Al-Kazaz
- Dana Al-Khaled
- Tala Al-Khaled
- Bilal Al-Khalil
- Issa Al-Kharouf
- Samer Al-Khudari
- Maher Al-Koubaytari
- Al-Machnee Inc
- Tarek Ibrahim Al-Najar
- Sameer Al-Obaidi
All providers in Chicago, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.