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Search › Illinois › 207V00000X

Antoun Al Khabbaz, MD

NPI 1992797260 · on the registry since 2005 · sole proprietor

Practice

Address
1200 W State St
Rockford, IL 61102
Phone
(815) 490-1600
Fax
(815) 490-1485
Organisation at this address
Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
173

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207V00000X
Licence states on file
KY, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois