Individual
DR. KHAFRA SADE GARCIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
5841 S MARYLAND AVE # MC4062, CHICAGO, IL 60637-1443
(773) 702-7418
(773) 702-1192
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
036.160332
IL
390200000X
Student in an Organized Health Care Education/Training Program
BP10056082
TX
Other
Enumeration date
06/15/2016
Last updated
05/16/2022
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