Individual
SHAZIA PARVIN KHATOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.131544
IL
207R00000X
Internal Medicine Physician
125055673
IL
208M00000X
Hospitalist Physician
Primary
036131544
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131544-2
—
IL
Enumeration date
09/14/2010
Last updated
05/09/2023
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