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Organization

AHK SURGICAL S.C.

Active
Other names
Abdul Haye Khan
Organization subpart
No

Provider details

NPI number
Authorized official
ADBUL HAYE KHAN M.D. (OWENER)
(708) 636-4116
Entity
Organization

Contact information

Practice address
2850 W 95TH ST, EVERGREEN PARK, IL 60805-2735
(708) 636-4116
(708) 636-5346
Mailing address
PO BOX 248, WORTH, IL 60482-0248
(708) 532-5660
(708) 532-5661

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0021608752
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/10/2007
Last updated
10/10/2007
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