Mahajan, Priti Khanna

Mahajan, Priti Khanna is an individual health care provider with primary practice located at 8200 Roosevelt Rd , Forest Park IL 60130-2528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mahajan, Priti Khanna can be contacted via phone (708) 488-9850.

Contact Information

Primary practice address
8200 Roosevelt Rd Forest Park IL 60130-2528
Phone: (708) 488-9850
Fax: (708) 488-9870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036094381 Illinois

Profile Details

NPI number 1629030630
LBN Legal business name Mahajan, Priti Khanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Oct 10th, 2016 - about 10 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 1629030630 NPPES
Illinois Other 036094381 LICENSE NO
Illinois MEDICAID 036094381 LICENSE NO
Illinois Other P01406915 LICENSE NO

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