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Individual

MR. AMIR ISLAM KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5600 W ADDISON ST LOWR 1LL, CHICAGO, IL 60634-4444
(773) 202-9622
Mailing address
5600 W ADDISON ST LOWR 1LL, CHICAGO, IL 60634-4444
(773) 202-9622

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002448
IL

Other

Enumeration date
05/25/2012
Last updated
02/13/2020
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