Individual
DR. KHALED A. KHORSHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9830 RIDGELAND AVE, CHICAG RIDGE MEDICAL CENTER - SUITE 5, CHICAGO RIDGE, IL 60415-2667
(708) 288-2239
(708) 233-6167
Mailing address
9004 RIDGELAND AVE, OAK LAWN, IL 60453-1414
(708) 288-2239
(708) 233-6167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633049
BC/BS
IL
01
—
647758
AMERICAN CHIROPRACTIC ACN
IL
01
—
K08024
MEDICARE PROVIDER MEMBER NUMBER
IL
Enumeration date
10/23/2006
Last updated
06/06/2008
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