Individual
DR. AQEEL A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TIFFANY PT, SUITE 110, BLOOMINGDALE, IL 60108-2936
(630) 924-1160
(630) 924-1162
Mailing address
DEPARTMENT 5973, CAROL STREAM, IL 60122-5973
(630) 924-1160
(630) 924-1162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-111021
IL
2084P0800X
Psychiatry Physician
68740
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111021-4
—
IL
Enumeration date
03/14/2006
Last updated
06/15/2021
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