Individual
DR. ALEISHA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6840
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1497503940
IL
208000000X
Pediatrics Physician
1497503940
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.085206
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/09/2024
Last updated
06/03/2025
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