Individual
DR. NAZIH B KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6021 S KEDZIE AVE, CHICAGO, IL 60629-3304
(773) 776-5330
(773) 776-5350
Mailing address
6021 S KEDZIE AVE, CHICAGO, IL 60629-3304
(773) 776-5330
(773) 776-5350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036097389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001622181
BCBS PROVIDER #
IL
05
—
036097389
—
IL
Enumeration date
08/15/2006
Last updated
02/29/2012
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