Organization
ALIKHAN NADIRA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIRA ALIKHAN (MD)
(708) 447-6970
Entity
Organization
Contact information
Practice address
348 EVELYN RD, RIVERSIDE, IL 60546-1736
(773) 265-2179
(630) 620-0794
Mailing address
348 EVELYN RD, RIVERSIDE, IL 60546-1736
(773) 265-2179
(630) 620-0794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036065774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065774
—
IL
01
—
31603760
BLUE SHIELD
IL
Enumeration date
04/13/2007
Last updated
06/13/2008
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