Khudeira Medical Center, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KHUDEIRA MEDICAL CENTER, INC

Practice address

8071 S Cicero Ave
Chicago, IL 60652-2003

Phone

(773) 585-0480

Fax

(773) 585-0482

NPI assigned

Oct 30, 2012

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdulkareem Khudeira, MDNPI 1538105911

Title

Owner

Phone

(773) 585-0480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdulkareem Khudeira, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538105911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1720332703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 S OKETO AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552140",
            "telephone_number": "773-585-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522003",
            "telephone_number": "773-585-0480",
            "fax_number": "773-585-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUDEIRA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "KHUDEIRA",
        "authorized_official_first_name": "ABDULKAREEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-585-0480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oraham Khoury
• Nader Sherif Elias Khouzam
• Ashley Lee Khowong
• Khlwd Abdelhafez Hassan Khtab
• Muhammad Khudayar, MD
• Abdulkareem Khudeira, M.D.
• Neda Khudeira
• Edith Baradi Khurana, MD
• Neeta Khurana, O.D.
• Raj Khurana, M.D.

• Urgent Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.