Individual
SHAHZAIB KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3800
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-165482
IL
2084P0800X
Psychiatry Physician
125.076400
IL
Other
Enumeration date
05/13/2020
Last updated
07/09/2024
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