Individual
MANAL KHASHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7050 S MADISON ST, WILLOWBROOK, IL 60527
(630) 323-6380
(773) 954-7417
Mailing address
332 S MICHIGAN AVE SUITE 1100, CHICAGO, IL 60604
(773) 954-7417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017124
IL
Other
Enumeration date
01/14/2018
Last updated
07/31/2019
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