Individual
DR. ABBAS A KHAWAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 N EDGELAWN DR, AURORA, IL 60506-4362
(630) 264-3250
(630) 264-1902
Mailing address
11 N EDGELAWN DR, AURORA, IL 60506-4362
(630) 264-3250
(630) 264-1902
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036046187
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046187
—
IL
01
—
060052720
MEDICARE RAILROAD
IL
Enumeration date
05/25/2006
Last updated
03/21/2018
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