# MANSOOR KHAN MD SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710185426
- **Authorized official:** DR. MANSOOR KHAN MD (PRESIDENT)
- **Authorized official phone:** (847) 952-7181

## Contact information

- **Practice address:** 800 BIESTERFIELD RD STE 407, ELK GROVE VILLAGE, IL 60007-3311
- **Practice address phone:** (847) 952-7181
- **Practice address fax:** (847) 437-8824
- **Mailing address:** 1120 HUNTER ST, LOMBARD, IL 60148-4822
- **Mailing address phone:** (847) 952-7181
- **Mailing address fax:** (847) 437-8824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036093169 | IL | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 04/08/2009