Individual
IVANNA KHALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C, MD
Contact information
Practice address
129 W RAND RD, ARLINGTON HEIGHTS, IL 60004-3142
(847) 215-0530
(847) 818-8640
Mailing address
129 W RAND RD, ARLINGTON HEIGHTS, IL 60004-3142
(847) 215-0530
(847) 818-8640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238000812
IL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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