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Nacer Khenouche, CPO
Prosthetist in Oak Lawn, Illinois
NPI 1093123994

Nacer Khenouche is a Prosthetist based in Oak Lawn, IL. Nacer Khenouche practices in Oak Lawn, IL and has the professional credentials of CPO. The NPI Number for Nacer Khenouche is 1093123994 and holds a License No. 213.000316 (Illinois).

The current practice location address for Nacer Khenouche is 4710 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-529-0753.

Location: 4710 W 95Th St, Oak Lawn, IL, 60453-2546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093123994
Provider Name
Nacer Khenouche
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
4710 W 95Th St, Oak Lawn, IL, 60453-2546
Phone Number
708-529-0753
Fax Number
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4710 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2546
Phone Number
708-529-0753
Fax Number
person
Provider Business Mailing Address Details
Address
4710 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2546
Phone Number
708-529-0753
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
211.000279 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
213.000316 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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