Most Relevant Information
Provider Data
| NPI Number: | 1003044892 |
| Provider Name: | JACQUELINE ALEXANDRIA KHORASANEE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 125056134 |
Most Important Dates
| Enumeration Date: | 06/30/2009 |
| Last Updated: | 11/03/2021 |
Provider Practice Location
645 N MICHIGAN AVE
SUITE 1058A
CHICAGO
IL
606112826
Practice Location Phone/Fax
| Phone: | 3125034756 |
| Fax: |
Provider Mailing Location
259 E ERIE ST
SUITE 100
CHICAGO
IL
606112930
Provider Mailing Phone/Fax
| Phone: | 3129269512 |
| Fax: |