| Khanltd | |
|
1952 E 73rd St Chicago IL 60649-2902 | |
| (773) 947-8664 | |
| Not Available |
| Full Name | Khanltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1952 E 73rd St, Chicago, Illinois |
| Authorized Official Name and Position | Mohammed Rafi Khan (PRESIDENT) |
| Authorized Official Contact | 6309531900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khanltd 105 E 20th St Lombard IL 60148-4967 Ph: (630) 953-1900 | Khanltd 1952 E 73rd St Chicago IL 60649-2902 Ph: (773) 947-8664 |
| NPI Number | 1104070648 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104070648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023653 (Illinois) | Primary |
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