Individual
SHIVANI KHAKHKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9459-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
125.077884
IL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/02/2020
Last updated
06/14/2022
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