Individual
CHRISTINE KHARASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046-6793
(847) 356-9300
(847) 356-7260
Mailing address
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046-6793
(847) 356-9300
(847) 356-7260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036083548
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083548
STATE LICENSE
IL
Enumeration date
07/15/2005
Last updated
10/15/2009
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