Individual
DR. KHACHIG K ISHKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 W ADDISON, SUITE 400, CHICAGO, IL 60634
(773) 283-2448
(773) 283-0205
Mailing address
5600 W ADDISON, SUITE 400, CHICAGO, IL 60634
(773) 283-2448
(773) 283-0205
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0366087395
IL
207RI0011X
Interventional Cardiology Physician
Primary
036087395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087395
—
IL
Enumeration date
06/06/2006
Last updated
02/08/2013
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