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Organization

LIBERTY MEDICAL CENTER OF MINOOKA, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AFTAB A KHAN M.D. (PHYSICIAN)
(815) 521-1010
Entity
Organization

Contact information

Practice address
603 W MONDAMIN ST, MINOOKA, IL 60447-9057
(815) 521-1010
(815) 521-1826
Mailing address
603 W MONDAMIN ST, MINOOKA, IL 60447-9057
(815) 521-1010
(815) 521-1826

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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