Individual
KHADRA K ALJAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
Mailing address
3505 N PONTIAC AVE, CHICAGO, IL 60634-2849
(312) 610-2875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277001095
IL
Other
Enumeration date
03/13/2017
Last updated
04/15/2025
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