Individual
DANIELLE MEGAN KHALIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 CALUMET AVE # 203, MUNSTER, IN 46321-2885
(219) 227-5034
Mailing address
5201 WILLOW SPRINGS RD, STE 430, LA GRANGE HIGHLANDS, IL 60525-6538
(248) 467-9875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002928A
IN
Other
Enumeration date
12/10/2019
Last updated
08/08/2022
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