Mohammad Khader

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025973 Issued in IL

Practice address

7124 W 83Rd St Unit C
Bridgeview, IL 60455-4034

Phone

(708) 424-0909

Fax

(708) 424-1715

NPI assigned

Sep 15, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Khader Walk in Clinic LLC

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1881420099
  Medicare reassignment NPD Authorized official
• Skyline Physicians LLC

  • Family Medicine Physician
  • Glen Ellyn, IL
  • NPI 1568704443
  Medicare reassignment NPD
• Urgiclinic Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Bridgeview, IL
  • NPI 1982301685
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1093437105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 W 151ST ST UNIT A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623201",
            "telephone_number": "708-737-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT C",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-424-0909",
            "fax_number": "708-424-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9015 W 151st St Unit A",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623201",
            "country_code": "US",
            "telephone_number": "708-737-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADER",
        "first_name": "MOHAMMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mithila Janakiram, MD
• John F Torphy DDS PC
• Frederick John Kahle, O.D.
• Mohamed Karim, PT
• Hassen Kasem
• Lisa Kherwish
• Rhonda Ibrahim Khouri, DDS
• Joseph Kim, DPT
• Taylor Kistulinec, DPT
• Natali Koeva

• Family Nurse Practitioner in Bridgeview, IL
• Providers in Bridgeview, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.