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1538697248
MIRZA ALI U KHAN
BELVIDERE, IL
NPI
1538697248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.152072)
Enumeration Date
2017-05-24
Last Update Date
2020-06-26
Business Address
MIRZA ALI U KHAN DO
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008-9303
Phone number: 815-544-7400
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Mailing Address
MIRZA ALI U KHAN DO
1423 ASHWOOD DR
ELGIN, IL 60123-8885
Phone number: 847-528-3366
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