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1174596696
AZIM J KHAN
FREEPORT, IL
NPI
1174596696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 036105684)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
-- AZIM J KHAN MD
1036 W STEPHENSON ST
FREEPORT, IL 61032-4865
Phone number: 815-599-6000
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Mailing Address
-- AZIM J KHAN MD
421 W EXCHANGE ST PO BOX 268
FREEPORT, IL 61032-4030
Phone number:
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