# MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700073780
- **Authorized official:** DR. FARAH N KHAN M.D., F.A.C.P. (OWNER, CEO)
- **Authorized official phone:** (312) 977-1185

## Contact information

- **Practice address:** 30 S MICHIGAN AVE STE 500, CHICAGO, IL 60603-3205
- **Practice address phone:** (312) 977-1185
- **Practice address fax:** (312) 977-1188
- **Mailing address:** 30 S MICHIGAN AVE, SUITE \#500, CHICAGO, IL 60603-3211
- **Mailing address phone:** (312) 977-1185
- **Mailing address fax:** (312) 977-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036103943 | IL | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/18/2023