Individual
AEISHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
105 COTTONWOOD DR, STREAMWOOD, IL 60107-3397
(847) 904-3033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
IL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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