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Individual

DR. ANJUM N KHAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
(773) 765-0801
Mailing address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
(773) 765-0801

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036091774
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036091774
BLUE SHIELD
IL
05
036091774
IL
Enumeration date
09/27/2006
Last updated
12/04/2007
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