FNU AHMED ALI KHAN

ROCKFORD, IL
NPI1275268369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.080223)
Enumeration Date2022-07-21
Last Update Date2022-07-25
Business Address
Dr. FNU AHMED ALI KHAN
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1037
Mailing Address
Dr. FNU AHMED ALI KHAN
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000