Individual provider · Type 1 NPI
Russell I. Khater, MD
Specialist · Joliet, IL
NPI number
1306904131
Active
Practice location
1106 N Larkin Ave, Lower Level
Joliet, IL 60435-3455
Fax (815) 741-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036098419 (IL) |
Specialist: 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.
2 other providers at this address
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- Deborah Faynik, COMSSpecialist Joliet, IL NPI 1306223649
- Renuka H. Bhatt, MDSpecialist Joliet, IL NPI 1316128861
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- Aras Zlioba, MDSpecialist Joliet, IL NPI 1548223233
About NPI 1306904131
Russell I. Khater, MD's National Provider Identifier is 1306904131, issued on Dec 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Joliet, IL. The record was last updated on Oct 31, 2016.