Individual
HUNNAAN MOHAMMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
3909 N WESTERN AVE, CHICAGO, IL 60618-3741
(773) 739-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010251
IL
363A00000X
Physician Assistant
14271
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2020
Last updated
12/20/2024
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