Organization
ANGEL HEALTH CARE SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE KHANKARI (PRESIDENT)
(312) 730-4223
Entity
Organization
Contact information
Practice address
7906 S CRANDON AVE, 2, CHICAGO, IL 60617-1146
(312) 730-4223
Mailing address
7906 S CRANDON AVE, 2, CHICAGO, IL 60617-1146
(312) 730-4223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104389
IL
Other
Enumeration date
04/07/2009
Last updated
06/15/2022
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