Individual
MICHELLE P. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5086 N ELSTON AVE, CHICAGO, IL 60630-2427
(773) 725-0200
Mailing address
44199 DEQUINDRE RD, TROY, MI 48085-1128
(773) 725-0200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002295
IL
Other
Enumeration date
02/25/2008
Last updated
05/25/2017
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