Individual
DR. NASEERUDDIN GULAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5742 N CHRISTIANA AVE, APT 1S, CHICAGO, IL 60659-4595
(773) 989-3344
(773) 989-8458
Mailing address
5742 N CHRISTIANA AVE, APT 1S, CHICAGO, IL 60659-4595
(773) 989-3344
(773) 989-8458
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036126888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126888
—
IL
Enumeration date
09/14/2009
Last updated
09/13/2016
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