Organization
NASREEN KHAN M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASREEN KHAN MD (OWNER)
(773) 275-7500
Entity
Organization
Contact information
Practice address
4633 N CLARK ST, CHICAGO, IL 60640-4619
(773) 275-7500
(773) 275-0449
Mailing address
4633 N CLARK ST, CHICAGO, IL 60640-4619
(773) 275-7500
(773) 275-0449
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3656673
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056673
—
IL
Enumeration date
04/08/2010
Last updated
09/29/2010
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