Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khaled Al Khodari

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164255857

Dr. Khaled Al Khodari is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

355 Ridge Ave
Evanston, IL 60202-3328
Phone: (847) 316-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164255857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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