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Individual

KISHORE K LAKHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MDSC

Contact information

Practice address
2500 WEST HIGGINS ROAD, SUITE 330, HOFFMAN ESTATES, IL 60169-7207
(847) 882-6060
(847) 882-6061
Mailing address
PO BOX 696, BLOOMINGDALE, IL 60108-0696
(847) 882-6060
(847) 882-6061

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036061273
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036061273 2
IL
01
2201417
BLUE SHIELD PROVIDER NO
IL
Enumeration date
02/15/2007
Last updated
01/21/2011
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