Organization
P K PHYSIATRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA KHANNA M.D. (PRESIDENT)
(630) 904-1306
Entity
Organization
Contact information
Practice address
4052 TEAK CIR, NAPERVILLE, IL 60564-1103
(630) 904-1306
(630) 904-1306
Mailing address
4052 TEAK CIR, NAPERVILLE, IL 60564-1103
(630) 904-1306
(630) 904-1306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042618039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232261
BCBS IL
IL
Enumeration date
03/31/2007
Last updated
12/23/2014
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