Individual
AMARA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 502-7237
Mailing address
302 N ROSELLE RD, ROSELLE, IL 60172-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139033617
—
IL
Enumeration date
06/07/2021
Last updated
06/07/2021
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