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Individual

IRINA KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
680 N LAKE SHORE DR STE 800, CHICAGO, IL 60611-8701
(224) 704-0155
Mailing address
25 W RANDOLPH ST APT 3307, CHICAGO, IL 60601-3527

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178012960
IL

Other

Enumeration date
06/02/2017
Last updated
06/02/2017
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