Individual
DR. KHALIL ARSHAD ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 W DIVERSEY PKWY, SUITE #300, CHICAGO, IL 60614-1454
(773) 453-5332
Mailing address
830 W DIVERSEY PKWY, SUITE #300, CHICAGO, IL 60614-1454
(773) 453-5332
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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