Individual
ISRAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2397
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020032510
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
05/02/2023
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