Individual
MAHRUKH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2490 BUSHWOOD DR, ELGIN, IL 60124-7898
(224) 293-5200
Mailing address
2490 BUSHWOOD DR, ELGIN, IL 60124-7898
(224) 293-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006779
IL
363AS0400X
Surgical Physician Assistant
020242
NY
Other
Enumeration date
10/05/2016
Last updated
04/28/2022
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