Khan, Nasrullah

Khan, Nasrullah is an sole proprietor health care provider with primary practice located at 2025 Washington St , Waukegan IL 60085-5131. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Khan, Nasrullah can be contacted via phone (847) 360-1020.

Contact Information

Primary practice address
2025 Washington St Waukegan IL 60085-5131
Phone: (847) 360-1020
Fax: (847) 360-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1194098962
LBN Legal business name Khan, Nasrullah
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194098962 NPPES
Illinois MEDICAID 1317433360001

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