Khanltd

NPI #1104070648 in Chicago, Illinois

Provider Information

NPI Number: 1104070648
Entity Type: Organization
Organization Name: Khanltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 1952 E 73RD ST
City: Chicago
State: Illinois
ZIP Code: 60649-2902
Phone: (773) 947-8664

Authorized Official

Name: MOHAMMED RAFI KHAN
Title: PRESIDENT
Phone: (630) 953-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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