# COMPLETE CHILD HEALTH

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

## Provider details

- **NPI number:** 1801108188
- **Authorized official:** DR. MOHAMMAD MAHMUD KHAN MD (PEDIATRICIAN)
- **Authorized official phone:** (630) 771-1630

## Contact information

- **Practice address:** 498 W BOUGHTON RD, SUITE 102, BOLINGBROOK, IL 60440-1893
- **Practice address phone:** (630) 771-1630
- **Practice address fax:** (630) 771-1631
- **Mailing address:** 498 W BOUGHTON RD, SUITE 102, BOLINGBROOK, IL 60440-1893
- **Mailing address phone:** (630) 771-1630
- **Mailing address fax:** (630) 771-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 036109931 | IL | Yes |

## Other

- **Enumeration date:** 07/02/2010
- **Last updated:** 07/02/2010