MEDICARE: KHALILUR RAHAMAN DN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172P00000X	Naprapath		IL

General Provider Information

NPI Number	:	1902025406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALILUR RAHAMAN DN

Provider Business Mailing Address
First Line	:	281 E WRIGHTWOOD AVE
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2626
Country	:	US
Telephone Number	:	630-863-5707
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 E WRIGHTWOOD AVE
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2626
Country	:	US
Telephone Number	:	630-863-5707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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