MEDICARE: DR. ABDULKAREEM KHUDEIRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036085737	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	IL8043	OTHER	IL	MEDICARE GRP
5	IL8043001	OTHER	IL	MEDICARE IND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DV7404	OTHER	IL	RAILROAD GRP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	016331133	OTHER	IL	BCBS
6	P00183246	OTHER	IL	RAILROAD IND

General Provider Information

NPI Number	:	1538105911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDULKAREEM KHUDEIRA M.D.

Provider Business Mailing Address
First Line	:	9405 S OKETO AVE
Second Line	:
City	:	BRIDGEVIEW
State	:	IL
Zip	:	60455-2140
Country	:	US
Telephone Number	:	773-585-0480
Fax Number	:

Provider Business Practice Location Address
First Line	:	8071 S CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60652-2003
Country	:	US
Telephone Number	:	773-585-0480
Fax Number	:	773-585-0482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1720332703 — KHUDEIRA MEDICAL CENTER, INC
Practice Location Address:

8071 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-585-0480
Practice Fax: 773-585-0482

1114425618 — NEDA KHUDEIRA
Practice Location Address:

8071 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-585-0480
Practice Fax: 773-585-0482

1790267649 — BRIAN HEIMERDINGER DPT
Practice Location Address:

8057 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-922-0105
Practice Fax: 773-922-0106

1568069045 — ARTHUR E CANO DPT
Practice Location Address:

8057 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-922-0105
Practice Fax: 773-922-0106

1063101509 — NOAH RICCHETTI PT
Practice Location Address:

8057 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-922-0105
Practice Fax: 773-922-0106

1760243869 — SYDNEY SOBKOWIAK PTA
Practice Location Address:

8057 S CICERO AVE
CHICAGO, IL
60652-2003

Practice Phone: 773-922-0105
Practice Fax: 773-922-0106

Directions to “ DR. ABDULKAREEM KHUDEIRA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.