Organization
KOHLI & KHAN INTERNISTS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANINDER S KOHLI M.D. (PRESIDENT)
(708) 660-5017
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, SUITE 3440, OAK PARK, IL 60304-1091
(708) 660-5017
(708) 660-5349
Mailing address
PO BOX 399, MATTESON, IL 60443-0399
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2005
Last updated
04/20/2008
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