Organization
KHANLTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED RAFI KHAN (PRESIDENT)
(630) 953-1900
Entity
Organization
Contact information
Practice address
1952 E 73RD ST, CHICAGO, IL 60649-2902
(773) 947-8664
Mailing address
105 E 20TH ST, LOMBARD, IL 60148-4967
(630) 953-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023653
IL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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