Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIZAR KHERALLAH, MD
Active Sole ProprietorDR. NIZAR KHERALLAH, MD is a Pediatric Pulmonology healthcare provider located in PEORIA, Illinois. NPI 1669467726 is currently active in the NPPES registry. Verify at CMS.
Pediatric Pulmonology · PEORIA, IL
Registration Details
- NPI Number
- 1669467726
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.936522365337 yrs)
- Last Updated
- Mar 17, 2018
- License
-
35072648 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 NE GLEN OAK AVE DEPT OFPEORIA, IL, 616372673Browse IL providers · Browse ZIP 61637
- Phone
- 3096249844
- Fax
- 3096249844
- Primary Specialty
-
Pediatric Pulmonology
2080P0214X
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.