Individual
HAZEL KHOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3231 EUCLID AVE STE 203, BERWYN, IL 60402-6700
(708) 783-3401
Mailing address
3231 EUCLID AVE STE 203, BERWYN, IL 60402-6700
(708) 783-3401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.082010
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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