Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Nouri Al-Khaled, M.D.

Cardiovascular Disease Physician in Evergreen Park, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760416713

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Registry record

Entity type Individual (Type 1)

Name Dr. Nouri Al-Khaled

Credential M.D.

Sex Male

Practice address 3545 W 95th St, Evergreen Park, IL, 60805

Phone (708) 346-5562

Enumeration date Jul 10, 2006

Last updated in NPPES Dec 20, 2021

Taxonomy & licenses

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 036-096798 (IL) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 036-096798 (IL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
036096798	Medicaid	IL	-
IL4014003	Other	IL	MEDICARE PTAN#
0001619074	Other	-	GROUP BC/BS
IL4013003	Other	IL	MEDICARE PTAN#
685583	Other	-	GROUP MEDICARE#
161991361	Other	IL	GROUP NPI#

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Nouri Al-Khaled?

Nouri Al-Khaled is registered in NPPES with the primary taxonomy of Cardiovascular Disease Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-20.