Individual
DR. MOHAMMED ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3212 COURT ST, PEKIN, IL 61554-6209
(309) 306-1234
(309) 213-9661
Mailing address
3212 COURT ST, PEKIN, IL 61554-6209
(309) 306-1234
(309) 213-9661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036123108
IL
208M00000X
Hospitalist Physician
036123108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123108
—
IL
01
—
09015685
BCBS OF IL
IL
Enumeration date
05/20/2007
Last updated
04/21/2025
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