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General NPI Number Information
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NPI Number | 1912271271
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Entity Type | Organization
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Legal Business Name | DR KHATIB & ASSOCIATES LTD
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6021 S KEDZIE AVE
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City | CHICAGO
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State | IL
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Zip | 60629-3222
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Country | US
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Telephone | 773-776-5330
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Fax | 773-776-5350
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Provider Business Mailing Address
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Address Line | 6021 S KEDZIE AVE
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City | CHICAGO
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State | IL
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Zip | 60629-3222
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Country | US
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Telephone | 773-776-5330
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Fax | 773-776-5350
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAZIH B KHATIB
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Credential | MD
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Telephone | 773-776-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | IL
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