Individual provider · NPI-1

Soulaf Abou Khachfe, MD

Internal Medicine · Berwyn, IL

NPI number1053171850
StatusActive
Last updated in NPPESMay 31, 2024

Details

NPI
1053171850
Entity type
Individual (NPI-1)
Name
Soulaf Abou Khachfe
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
May 30, 2024
Last updated
May 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125.083419ILYes

Practice location

3249 S. Oak Park Avenue
Berwyn, IL 60402

Phone 708-783-3401

Mailing address

3249 S. Oak Park Avenue
Berwyn, IL 60402

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