Individual
NADIA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SFA
Contact information
Practice address
4543 N MALDEN ST APT 1S, CHICAGO, IL 60640-5687
(773) 603-4125
Mailing address
4543 N MALDEN ST APT 1S, CHICAGO, IL 60640-5687
(773) 603-4125
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238.0006.36
IL
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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