Individual
MRS. ANJUM FATIMA KHATOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3333 GREEN BAY ROAD, ATTN PSYCHIATRY DEPARTMENT, NORTH CHICAGO, IL 60064
(847) 983-4262
Mailing address
3333 GREEN BAY DRIVE, ATTN PSYCHIATRY DEPARTMENT, NORTH CHICAGO, IL 60064
(847) 983-4262
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
724971
IL
Other
Enumeration date
06/24/2008
Last updated
10/06/2011
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