Whalio Doctors

NPI 1093123994

Nacer Khenouche, CPO

Practitioner Orthotist Oak Lawn, IL

Practice location

Address
4710 W 95th St Suite 11, Oak Lawn, IL 60453-2546
Phone
(708) 529-0753

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000316 (IL)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000279 (IL)

Registry record

NPI
1093123994
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jul 2014
Record last updated
24 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.