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Individual

NIGHAT MONA KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
330 W GRAND AVE, SUITE A, CHICAGO, IL 60654-5264
(312) 329-1100
(312) 329-1106
Mailing address
330 W GRAND AVE, SUITE A, CHICAGO, IL 60654-5264
(312) 329-1100
(312) 329-1106

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-105968
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632801
BCBS PROVIDER NUMBER
IL
05
036105968 1
IL
01
H62272
PROVIDER UPIN
IL
Enumeration date
12/22/2005
Last updated
08/15/2008
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