Khaled Aboushaala
Physician Assistant, Surgical in Mokena, IL. Individual provider (NPI-1).
NPI number1659226306
StatusActive
Last updated in NPPESFeb 27, 2026
Details
- NPI
- 1659226306
- Entity type
- Individual (NPI-1)
- Name
- Khaled Aboushaala
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2026
- Certification date
- Feb 27, 2026
- Last updated
- Feb 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 238.010972 | IL | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 238.010972 | IL |
Practice location
19015 S Jodi Rd Ste HMokena, IL 60448-8534
Phone 708-994-5418 · Fax 832-804-8886
Mailing address
19015 S Jodi Rd Ste HMokena, IL 60448-8534
Phone 708-994-5418 · Fax 832-804-8886
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All 29 Surgical Physician Assistant providers in Mokena · All 737 providers in Mokena
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