Individual provider · Type 1 NPI

Khaled Aboushaala

Surgical Physician Assistant · Mokena, IL

NPI number 1659226306 Active

Practice location

19015 S Jodi Rd Ste H
Mokena, IL 60448-8534

Call (708) 994-5418 Map

Fax (832) 804-8886

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X238.010972 (IL)
Surgical Physician Assistant Primary 363AS0400X238.010972 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1659226306

Khaled Aboushaala's National Provider Identifier is 1659226306, issued on Feb 27, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Feb 27, 2026.