NPI 1053171850 · live from the CMS NPI Registry
Soulaf Abou Khachfe, MD
Internal Medicine in Berwyn, IL. National Provider Identifier 1053171850, active.
NPI record
| NPI | 1053171850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 3249 S. Oak Park Avenue, Berwyn, IL 60402 |
| Practice phone | 708-783-3401 |
| Enumerated | March 20, 2024 |
| Last updated | May 31, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 125.083419 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.