Individual
FARQAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(773) 275-2568
Mailing address
3919 W BELDEN AVE, CHICAGO, IL 60647-2207
(773) 603-2995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.405343
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017450
IL
Other
Enumeration date
08/11/2015
Last updated
09/27/2024
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