Provider Demographics
NPI:1780760124
Name:KARIM, KHALIL Y (MD)
Entity type:Individual
Prefix:
First Name:KHALIL
Middle Name:Y
Last Name:KARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1111 SUPERIOR ST
Mailing Address - Street 2:STE 402
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-4138
Mailing Address - Country:US
Mailing Address - Phone:708-450-7788
Mailing Address - Fax:708-450-9464
Practice Address - Street 1:1111 SUPERIOR ST
Practice Address - Street 2:STE 402
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-4138
Practice Address - Country:US
Practice Address - Phone:708-450-7788
Practice Address - Fax:708-450-9464
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DB4999OtherRAILROAD MEDICARE
IL1633840OtherBC/BS IL
H14203Medicare UPIN
DB4999OtherRAILROAD MEDICARE