Issa Al-Kharouf, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chicago, IL
NPI 1568039261 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1568039261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1350 N Lake Shore Dr
Chicago, IL 60610-5267 - Phone
- (972) 546-2307
- NPI assigned
- Jun 10, 2021
- Reactivated
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ialkharouf715096@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1350 N Lake Shore Dr
Chicago, IL 60610-5267
Mailing address
1350 N Lake Shore Dr
Chicago, IL 60610-5267
Phone (779) 302-6688
Other providers in Chicago, IL
- Adam Al-Kassem
- Mohamed M.H. Al-Kazaz
- Dana Al-Khaled
- Tala Al-Khaled
- Bilal Al-Khalil
- Nala Al-Khatib
- Samer Al-Khudari
- Maher Al-Koubaytari
- Al-Machnee Inc
- Tarek Ibrahim Al-Najar
All providers in Chicago, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.