Individual
DR. KHAJA ASADULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10181 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 464-7212
(815) 464-7251
Mailing address
1480 MOMENTUM PL, CHICAGO, IL 60689-5314
(815) 464-7212
(815) 464-7251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036099650
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036099650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099650
—
IL
Enumeration date
05/17/2006
Last updated
12/11/2025
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