Individual
MRS. KHOJASTEH KATHY TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2534 WILD DUNES CT, AURORA, IL 60503-5648
(630) 499-0215
(630) 499-0215
Mailing address
2534 WILD DUNES CT, AURORA, IL 60503-5648
(630) 499-0215
(630) 499-0215
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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