Organization
MIDWEST MEDICAL SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOWHAR KHAN MD (PRESIDENT)
(630) 802-8644
Entity
Organization
Contact information
Practice address
1177 N HIGHLAND AVE, SUITE 201, AURORA, IL 60506-2281
(630) 801-7505
(630) 801-7511
Mailing address
2309 BILTER RD, AURORA, IL 60502-8714
(630) 428-3600
(630) 428-1710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036111540
IL
207R00000X
Internal Medicine Physician
036-087-821
IL
207RR0500X
Rheumatology Physician
Primary
036-087-821
IL
261QP2000X
Physical Therapy Clinic/Center
070-002-882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087821
—
IL
Enumeration date
09/20/2006
Last updated
04/11/2022
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