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Individual
DR. KHALED A. KHORSHID
Active
Individual
DR. KHALED A. KHORSHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633049
BC/BS
IL
01
—
647758
AMERICAN CHIROPRACTIC ACN
IL
01
—
K08024
MEDICARE PROVIDER MEMBER NUMBER
IL
Enumeration date
10/23/2006
Last updated
06/06/2008
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