Dr. Bassil Kherallah, MD - Peoria, IL

Dr. Bassil Kherallah, MD

Student in an Organized Health Care Education/Training Program in Peoria, Illinois

NPI 1659831501

Bassil Kherallah is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Bassil Kherallah practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Bassil Kherallah is 1659831501 and holds a License No. 90200000X (Illinois).

The current practice location address for Bassil Kherallah is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-4000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001

NPI Number

1659831501

Provider Name

Bassil Kherallah

Credential

Provider Entity Type

Individual

Gender

Male

Address

530 Ne Glen Oak Ave, Peoria, IL, 61637-0001

Phone Number

309-624-4000

Fax Number

Provider Enumeration Date

03/25/2019

Last Update Date

03/10/2024

Address

530 Ne Glen Oak Ave

City

Peoria

State

Illinois

Zip

61637-0001

Phone Number

309-624-4000

Fax Number

Address

530 Ne Glen Oak Ave

City

Peoria

State

Illinois

Zip

61637-0001

Phone Number

309-624-4000

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

90200000X ()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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