Individual
DR. VIJAY VIVEK KHILANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(734) 945-8554
Mailing address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(734) 945-8554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036125881
IL
2084P0800X
Psychiatry Physician
4301091095
MI
2084P0804X
Child & Adolescent Psychiatry Physician
036125881
IL
Other
Enumeration date
07/11/2008
Last updated
05/31/2012
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