Organization Active NPI

Wedad Khedr, MD LTD

  • Pediatrics Physician
  • Belvidere, IL
National Provider Identifier
1326216078
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEDAD KHEDR, MD LTD
Practice address
1908 Pierce CT
Belvidere, IL 61008-1742
Phone
(815) 544-7779
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Wedad Khedr, M.D.
Title
Provider
Phone
(815) 544-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X IL Primary

Addresses

Primary practice location

1908 Pierce CT
Belvidere, IL 61008-1742

Mailing address

1907 Cloverdale Way
Belvidere, IL 61008-7331
Phone (815) 544-7779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1326216078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 CLOVERDALE WAY",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610087331",
            "telephone_number": "815-544-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 PIERCE CT",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081742",
            "telephone_number": "815-544-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDAD KHEDR, MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "KHEDR",
        "authorized_official_first_name": "WEDAD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "815-544-7779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.