NPI 1003044892
Jacqueline Alexandria Khorasanee, MD
Practice location
- Address
- 645 N Michigan Ave Suite 1058a, Chicago, IL 60611-2826
- Phone
- (312) 503-4756
- Mailing address
- 259 E Erie St Suite 100, Chicago, IL 60611-2930
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1003044892
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jun 2009
- Record last updated
- 3 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.