Individual
KHAIRUDDIN MEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E SUPERIOR ST, 12TH FLOOR, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
1458 WILMETTE AVE, WILMETTE, IL 60091-2527
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125060936
IL
Other
Enumeration date
06/14/2012
Last updated
02/02/2017
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