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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NACER KHENOUCHE, CPO

Active

NACER KHENOUCHE, CPO is a Orthotist healthcare provider located in OAK LAWN, Illinois. NPI 1093123994 is currently active in the NPPES registry. Verify at CMS.

Orthotist · OAK LAWN, IL

Registration Details

NPI Number
1093123994
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2014 (12.023780853992 yrs)
Last Updated
Jul 24, 2014
Licenses
213.000316 (IL)
211.000279 (IL)

Practice Information

Address
4710 W 95TH ST
SUITE 11
OAK LAWN, IL, 604532546
Browse IL providers · Browse ZIP 60453
Phone
7085290753
Primary Specialty
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.