MIRZA ALI U KHAN

BELVIDERE, IL
NPI1538697248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.152072)
Enumeration Date2017-05-24
Last Update Date2020-06-26
Business Address
MIRZA ALI U KHAN DO
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008-9303
Phone number: 815-544-7400
Mailing Address
MIRZA ALI U KHAN DO
1423 ASHWOOD DR
ELGIN, IL 60123-8885
Phone number: 847-528-3366