Organization
LAGRANGE MEDICAL HEALTHCARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN M KHAN M.D. (MEDICAL DIRECTOR)
(708) 352-0330
Entity
Organization
Contact information
Practice address
6170 JOLIET RD, COUNTRYSIDE, IL 60525-3956
(708) 352-0330
(708) 352-8905
Mailing address
6170 JOLIET RD, COUNTRYSIDE, IL 60525-3956
(708) 352-0330
(708) 352-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
05/16/2013
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