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Individual

WALI SAJJAD KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN-CRNA

Contact information

Practice address
8103 ROUTE 53 APT 2, WOODRIDGE, IL 60517-3644
(630) 210-1740
Mailing address
8103 ROUTE 53 APT 2, WOODRIDGE, IL 60517-3644
(630) 210-1740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041428235
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.027773
IL

Other

Enumeration date
09/16/2021
Last updated
10/03/2024
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