Organization
BALUCHI MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD KHAN M.D. (PRESIDENT OWNER)
(630) 932-8000
Entity
Organization
Contact information
Practice address
1S161 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3904
(630) 932-8000
(630) 932-8025
Mailing address
1 S. 161 SUMMIT AVE, OAK BROOK TERRACE, IL 60181
(630) 932-8000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21606805
BCBS PROVIDER ID
IL
01
—
CJ5711
RAILROAD MEDICARE
IL
Enumeration date
01/23/2007
Last updated
10/08/2008
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