Individual
MOHAMMAD MAHMUD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
498 W BOUGHTON ROAD, SUITE 103, BOLINGBROOOK, IL 60440-1925
(630) 771-1630
(630) 771-1631
Mailing address
498 W BOUGHTON ROAD, SUITE 102, BOLINGBROOOK, IL 60440-1925
(630) 771-1630
(630) 771-1631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-109931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109931
—
IL
Enumeration date
10/15/2007
Last updated
04/19/2010
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