Individual
FAYYAZ A KHANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(630) 712-2611
Mailing address
PO BOX 3680, PEORIA, IL 61612-3680
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036118941
IL
Other
Enumeration date
08/08/2007
Last updated
08/31/2011
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