Individual
IFFATH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 BRIGHTON PL, GLEN ELLYN, IL 60137-6024
(630) 812-8381
Mailing address
1130 BRIGHTON PL, GLEN ELLYN, IL 60137-6024
(630) 812-8381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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