Individual
DR. MIR BASHARATH ALIKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, P-615, MC6101, CHICAGO, IL 60637-1447
(773) 834-8375
Mailing address
5841 S MARYLAND AVE, P-615, MC6101, CHICAGO, IL 60637-1447
(773) 834-8375
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036130276
IL
Other
Enumeration date
05/13/2011
Last updated
01/13/2017
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