Individual
MUHAMMAD WAQAR KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-139349
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139349
—
IL
Enumeration date
05/02/2008
Last updated
01/16/2025
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