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1376022350
ATIQ URREHMAN KHAN
ROCKFORD, IL
NPI
1376022350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 036.146745)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
ATIQ URREHMAN KHAN MD
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 407-620-7397
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Mailing Address
ATIQ URREHMAN KHAN MD
295 BIENTERRA TRL APT 3
ROCKFORD, IL 61107-5885
Phone number: 407-620-7397
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