Individual
NITIN KHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3605
(815) 307-8075
(815) 344-4302
Mailing address
PO BOX 787, MCHENRY, IL 60051-9013
(224) 238-4160
(847) 214-9489
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036085008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085008
—
IL
01
—
05620217
BCBS OF IL
IL
01
—
DP2616
RAILROAD MEDICARE
IL
01
—
P00742097
RAILROAD MEDICARE
IL
Enumeration date
09/25/2006
Last updated
05/15/2024
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