Individual
LADAN KHAZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 GREEN BAY RD, PSYCHIATRY DEPARTMENT, NORTH CHICAGO, IL 60064-3037
(847) 578-8711
Mailing address
3502 GREEN BAY RD APT 305, NORTH CHICAGO, IL 60064-3617
(310) 701-4889
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036147123
IL
2084P0800X
Psychiatry Physician
125069653
IL
Other
Enumeration date
06/29/2016
Last updated
05/21/2022
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