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

Q: 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.

Q: What is Russell Khater's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Russell Khater was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(815) 725-6188

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

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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.

GEORGE NICHOLAS GRABAVOY

Dentist

1106 N LARKIN AVE
JOLIET, IL 60435

Will County (815) 744-4503

ORTHODONTIC CARE CENTER

Clinic/Center (Dental)

1106 N LARKIN AVE
JOLIET, IL 60435

Will County (815) 729-0002

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.