Jacqueline Alexandria Khorasanee
Emergency Physician
645 N Michigan Ave Suite 1058a
Chicago
, Illinois 60611-2826
Jacqueline Alexandria Khorasanee
Emergency Physician
645 N Michigan Ave Suite 1058a
Chicago
, Illinois 60611-2826
(312) 926-9512
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jacqueline Alexandria Khorasanee
- 259 E Erie St Suite 100
- Chicago, IL
- Zip : 60611-2930
- Phone : (312) 926-9512
Second Address
- Jacqueline Alexandria Khorasanee
- 645 N Michigan Ave Suite 1058a
- Chicago, IL
- Zip : 60611-2826
- Phone : (312) 503-4756
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 125056134 | IL |
National Provider Identifier
| NPI | 1003044892 |
|---|---|
| Provider Name | Jacqueline Alexandria Khorasanee |
| First Address | Chicago, IL 60611-2930 |
| Second Address | Chicago, IL 60611-2826 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2009 |
| Last Update Date | 03/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.