Individual
MALIHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5961 N LINCOLN AVE, CHICAGO, IL 60659-3758
(847) 814-1831
Mailing address
2729 W JEROME ST, CHICAGO, IL 60645-1304
(847) 814-1831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032598
IL
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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