Individual
DR. WAJID A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N HAMMES AVE, SUITE 3, JOLIET, IL 60435-6677
(815) 744-8253
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036115038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115038
—
IL
01
—
0991516762
BCBS
IL
Enumeration date
10/03/2006
Last updated
10/15/2012
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