Noor Alkhawam

Individual provider Active NPI Internal Medicine Physician · Oak Lawn, IL

NPI 1801646161 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1801646161
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
125.083969 (IL)
Practice address
4220 W 95TH St Ste 200
Oak Lawn, IL 60453-3072
Phone
(708) 398-0287
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125.083969ILMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 125.083969 IL Yes

Addresses

Primary practice location

4220 W 95TH St Ste 200
Oak Lawn, IL 60453-3072

Mailing address

8 Sylvan Glen CT
Burr Ridge, IL 60527-0703

Other providers in Oak Lawn, IL

All providers in Oak Lawn, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.