Organization
DEVON HOMECARE PHYSICIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED J KHAN M.D (PRESIDENT)
(872) 806-3340
Entity
Organization
Contact information
Practice address
2822 W. GRANVILLE AVE. APT 1, CHICAGO, IL 60659
(872) 806-3340
Mailing address
2822 W. GRANVILLE AVE. APT 1, CHICAGO, IL 60659
(872) 806-3340
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109208
—
IL
Enumeration date
11/03/2020
Last updated
11/03/2020
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