Organization
VIJAY VIVEK KHILANANI-MD-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY V KHILANANI M.D. (MANGER)
(734) 945-8554
Entity
Organization
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(734) 945-8554
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(734) 945-8554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
06/01/2012
Last updated
06/21/2012
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