Individual
DR. KHAJA ALIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3147 W CERMAK RD, CHICAGO, IL 60623-3307
(773) 522-1216
(773) 522-9660
Mailing address
3147 W CERMAK RD, CHICAGO, IL 60623-3307
(773) 522-1216
(773) 522-9660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071142
—
IL
Enumeration date
03/19/2007
Last updated
02/08/2011
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