Doctor Name: | FARAH KHAN |
NPI Number: | 1831578178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 242.003425 |
Business Practice Address: | 16170 Kingsport Rd Orland Park, IL - 604675602 |
Business Phone Number: | 7083261550 |
Business Fax Number: | |
Mailing Address: | 125 1st St, BLOOMINGDALE |
State: | IL |
Postal Code: | 601081219 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.003425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |