Individual
FARHANA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 130, PEORIA, IL 61615-9541
(309) 683-5050
Mailing address
8600 N STATE ROUTE 91, SUITE 130, PEORIA, IL 61615-9541
(309) 683-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036135617
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2008
Last updated
08/25/2014
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