Individual
ELLA KHVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
(773) 522-1177
Mailing address
111 ACACIA DR, UNIT 705, INDIANHEAD PARK, IL 60525-4487
(708) 246-6021
(708) 246-6073
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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