Individual
SEEMIN GUL KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5140 NORTH CALIFORNIA AVENUE, SUITE 755, CHICAGO, IL 60625
(773) 275-5030
Mailing address
46 MEADOWVIEW DRIVE, NORTHFIELD, IL 60093
(773) 275-5030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036051676
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051676
—
IL
01
—
31600490
BLUE SHIELD
IL
Enumeration date
07/11/2006
Last updated
10/28/2008
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