Individual
RODINA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(847) 532-9692
Mailing address
811 N NEWBERRY LN, MOUNT PROSPECT, IL 60056-1531
(847) 532-9692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
04318546
IL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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