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General NPI Number Information
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NPI Number | 1023306230
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Entity Type | Individual
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Provider Name | EHAB EL-KHABIRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2605 S INDIANA AVE APT 1704
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City | CHICAGO
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State | IL
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Zip | 60616
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Country | US
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Telephone | 815-319-3398
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 S INDIANA AVE APT 1704
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City | CHICAGO
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State | IL
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Zip | 60616-2849
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Country | US
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Telephone | 815-319-3398
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 186
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-135959
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License Number State | IL
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