Organization
NITIN KHER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN KHER MD (PRESIDENT)
(815) 307-8075
Entity
Organization
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
—
5632380
BCBS PROV #
IL
01
—
DP2616
RAILROAD MEDICARE
IL
Enumeration date
11/24/2008
Last updated
07/07/2023
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