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1154178143
TAQI KHAJA
ROCKFORD, IL
NPI
1154178143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
TAQI KHAJA
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114-2300
Phone number: 815-971-7000
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Mailing Address
TAQI KHAJA
2S572 ILLINOIS ROUTE 53
GLEN ELLYN, IL 60137
Phone number: 630-335-5772
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