Individual
SYED J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-3601
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-3601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01061501A
IN
2084P0800X
Psychiatry Physician
Primary
036120854
IL
2084P0804X
Child & Adolescent Psychiatry Physician
01061501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000691246
ANTHEM
IN
01
—
000000775649
ANTHEM
IN
05
—
200825610
—
IN
05
—
209931580A
—
IN
01
—
2298696
CIGNA BEHAVIORAL HEALTH
IN
01
—
388979
MANAGED HEALTH NETWORK
IN
01
—
577438
VALUE OPTIONS
IN
01
—
7029777
AETNA
IN
01
—
D03211
MEDICARE RR GRP#
IN
01
—
P01191767
RR MEDICARE PTAN
IN
Enumeration date
05/12/2006
Last updated
10/27/2025
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