Individual
HENNA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
8907 188TH ST, HOLLIS, NY 11423-1914
(347) 935-6757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036174211
IL
Other
Enumeration date
04/07/2022
Last updated
07/24/2025
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