Individual
DESIREE KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
929 RIDGE RD STE 7, MUNSTER, IN 46321
(219) 836-9515
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-6748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.017286
IL
363LF0000X
Family Nurse Practitioner
Primary
28247320A
IN
Other
Enumeration date
03/02/2018
Last updated
01/24/2019
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