Individual
HOSAM N KHAYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 492-2706
Mailing address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-5811
(217) 464-1318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065886A
IN
207R00000X
Internal Medicine Physician
036113434
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036113434
IL
208M00000X
Hospitalist Physician
01065886A
IN
208M00000X
Hospitalist Physician
036113434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000612789
ANTHEM
IN
01
—
000000883080
ANTHEM
IN
05
—
036113434
—
IL
05
—
200926870
—
IN
Enumeration date
05/13/2006
Last updated
06/25/2025
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