DR. Russell I Khater, M.D.

NPI #1306904131 in Joliet, Illinois

Provider Information

NPI Number: 1306904131
Entity Type: Individual
Name: DR. Russell I Khater, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 5, 2006
Last Updated: Oct 31, 2016

Practice Location

Address: 1106 N LARKIN AVE
Address 2: LOWER LEVEL
City: Joliet
State: Illinois
ZIP Code: 60435-3455
Phone: (815) 725-6188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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