Toufic S. Khairallah, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277000880 Issued in IL

Practice address

4501 N Sterling Ave Ste 104
Peoria, IL 61615-3865

Phone

(309) 306-1039

Fax

(309) 679-9581

NPI assigned

Apr 24, 2018

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tyrian Healthcare, LLC

  • General Practice Physician
  • West Peoria, IL
  • NPI 1447881487
  NPD Authorized official
• Khairallah Chiropractic PC

  dba JSK Chiropractic PC

  • Chiropractor
  • Peoria, IL
  • NPI 1457419566

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1427546688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N STERLING AVE STE 104",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153865",
            "telephone_number": "309-306-1039",
            "fax_number": "309-291-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N STERLING AVE STE 104",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153865",
            "telephone_number": "309-306-1039",
            "fax_number": "309-679-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRALLAH",
        "first_name": "TOUFIC",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005547",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Keyser, MD
• Fazl Khademi
• Reem Khader
• Khairallah Chiropractic PC (JSK Chiropractic PC)
• Joseph S Khairallah, D.C.
• Shiraz Khaiser, MD
• Baila Khan
• Farhana Khan, M.D.
• Huda Mehmood Khan, DO
• Imad Khan, MD

• Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.