Individual
MR. SARGISS KHOSHABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1627 W BELMONT AVE, CHICAGO, IL 60657-3017
(773) 477-1069
(773) 477-3462
Mailing address
1627 W BELMONT AVE, CHICAGO, IL 60657-3017
(773) 477-1069
(773) 477-3462
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
251G00000X
Community Based Hospice Care Agency
—
IL
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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