Individual
MR. JALALUDDIN KHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
820 E TERRA COTTA AVE, SUITE 203, CRYSTAL LAKE, IL 60014-3649
(815) 444-1549
Mailing address
5408 RITA AVE, CRYSTAL LAKE, IL 60014-3882
(815) 356-7962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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