DR. MOHAMMAD AWAD AL KHUDARI MD NPI 1720151624

NPI Information

  • NPI: 1720151624
  • Provider Name: DR. MOHAMMAD AWAD AL KHUDARI, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 1890 SILVER CROSS BLVD
    SUITE 330
    NEW LENOX, IL
    ZIP 60451
  • Phone: (815) 717-6082

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NPI Details

DR. Mohammad Awad Al Khudari, MD is an obstetrics gynecology in New Lenox, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Mohammad Awad Al Khudari, MD NPI is 1720151624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1890 SILVER CROSS BLVD
SUITE 330
NEW LENOX, IL
ZIP 60451-508
Phone: (815) 717-6082
Fax: (815) 717-8693

The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology3651013ILLINOISNo
2207V00000XObstetrics & Gynecology036051013ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D10238MEDICARE UPIN
2036051013MEDICAIDILLINOIS
3482050MEDICARE PIN
4482050MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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