Individual
DR. ALAM A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N. SHERIDAN RD, SUITE 400, CHICAGO, IL 60657-6157
(773) 472-5803
Mailing address
2800 N SHERIDAN RD, SUITE 400, CHICAGO, IL 60657-6157
(773) 472-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085778
—
IL
01
—
110091993
MEDICARE RAILROAD
—
Enumeration date
07/21/2005
Last updated
09/14/2011
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