person
Dr. Russell I Khater, MD
Specialist in Joliet, Illinois
NPI 1306904131

Russell I Khater is a Specialist based in Joliet, IL. Russell I Khater practices in Joliet, IL and has the professional credentials of MD. The NPI Number for Russell I Khater is 1306904131 and holds a License No. 036098419 (Illinois).

The current practice location address for Russell I Khater is 1106 N Larkin Ave, Joliet, IL and can be reached out via phone at 815-725-6188 and via fax at 815-741-1541.

Location: 1106 N Larkin Ave, Joliet, IL, 60435-3455
person
Provider Profile Details
NPI Number
1306904131
Provider Name
Russell I Khater
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1106 N Larkin Ave, Joliet, IL, 60435-3455
Phone Number
815-725-6188
Fax Number
815-741-1541
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036041596 05 IL
institution
Provider Business Practice Location Address Details
Address
1106 N Larkin Ave
City
State
Zip
60435-3455
Phone Number
815-725-6188
Fax Number
815-741-1541
person
Provider Business Mailing Address Details
Address
1106 N Larkin Ave
City
State
Zip
60435-3455
Phone Number
815-725-6188
Fax Number
815-741-1541
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036098419 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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