DR. RUSSELL I KHATER M.D.
NPI 1306904131
Specialist in Joliet, IL

Active since December 05, 2006
1106 N LARKIN AVE, LOWER LEVEL, JOLIET, IL 60435(815) 725-6188(815) 741-1541 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Russell I Khater M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL I KHATER M.D. (NPI 1306904131) is an individual specialist in Joliet, Illinois, licensed in Illinois (036098419) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1306904131
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RUSSELL I KHATERCredential: M.D.
Location Address1106 N LARKIN AVE, LOWER LEVELJoliet, IL 60435-3455
Mailing Address1106 N Larkin Ave, Lower LevelJoliet, IL 60435-3455 · (815) 725-6188 · Fax (815) 741-1541
Fax(815) 741-1541
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 31, 2016
NPI 1306904131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036098419
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1106 N LARKIN AVE, Joliet, IL 60435

Other Identifiers 3

Medicaid036041596IL
Medicare UPING94840IL
Medicare ID-Type Unspecified545240IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1106 N LARKIN AVE
JOLIET, IL 60435
Clinic/Center (Dental)
1106 N LARKIN AVE
JOLIET, IL 60435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Khater's NPI number?

The NPI number for Russell Khater is 1306904131. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Russell Khater located?

Russell Khater practices at 1106 N Larkin Ave Lower Level, Joliet, IL 60435. The listed phone number is (815) 725-6188.

What is Russell Khater's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Russell Khater was last updated on October 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.