# M RAZA KHAN M D S C

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

## Provider details

- **NPI number:** 1881826253
- **Authorized official:** DR. MOHAMMAD RAZA KHAN M D (PRESIDENT)
- **Authorized official phone:** (847) 488-0123

## Contact information

- **Practice address:** 1 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-5826
- **Practice address phone:** (815) 893-7975
- **Mailing address:** 450 SHEPARD DR, SUITE 9, ELGIN, IL 60123-7033
- **Mailing address phone:** (847) 488-0123
- **Mailing address fax:** (847) 488-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036118940 | IL | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 09/15/2009