Individual
FAHMIDA KHATOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2734 W 87TH ST, CHICAGO, IL 60652-3937
(773) 918-4700
Mailing address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3754
(708) 488-5678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003418
IL
Other
Enumeration date
04/09/2009
Last updated
10/07/2017
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