Dr. Nizar Kherallah
Pediatric Pulmonologist
530 Ne Glen Oak Ave Dept Of
Peoria
, Illinois 61637-2673
Dr. Nizar Kherallah
Pediatric Pulmonologist
530 Ne Glen Oak Ave Dept Of
Peoria
, Illinois 61637-2673
(309) 624-4542
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Dr. Nizar Kherallah
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 624-4542
Second Address
- Dr. Nizar Kherallah
- 530 Ne Glen Oak Ave Dept Of
- Peoria, IL
- Zip : 61637-2673
- Fax : (309) 624-9844
- Phone : (309) 624-9844
Reviews
FAQs
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Is Dr. Nizar Kherallah a sole practitioner?
Is Dr. Nizar Kherallah accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 35072648 | OH |
National Provider Identifier
| NPI | 1669467726 |
|---|---|
| Provider Name | Dr. Nizar Kherallah |
| First Address | Peoria, IL 61637-0001 |
| Second Address | Peoria, IL 61637-2673 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2122661 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.