Organization
MAK ANESTHESIA SERVICES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A KHAN M.D. (PRESIDENT)
(630) 377-0106
Entity
Organization
Contact information
Practice address
1200 W SOUTH ST, PLANO, IL 60545-1790
(630) 377-0106
Mailing address
2320 DEAN ST, SUITE 103, ST CHARLES, IL 60175-1068
(630) 377-0106
(630) 377-1186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036101678
IL
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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