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Organization

BALUCHI MEDICAL GROUP LTD

Active
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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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