Individual
JACQUELINE M KHILFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11238 S WESTERN AVE, CHICAGO, IL 60643-4116
(708) 200-6615
Mailing address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 422-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017893
IL
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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