(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003537739
Provider Name: KHADIJA MOTAN
Entity Type: Individual
Taxonomy Code: 363A00000X
Specialty: Physician Assistant
License Number: 085-010102
Most Important Dates
Enumeration Date: 09/09/2022
Last Updated: 12/29/2023
Provider Practice Location
2320 E 93RD ST
CHICAGO
IL
606173909
Practice Location Phone/Fax
Phone: 7739675430
Fax: 7739674205
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
Phone: 8473905900
Fax: