Individual
FAISAL Q. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 RANDALL RD., CADENCE PHYSICIAN GROUP, GENEVA, IL 60134-4220
(630) 262-7400
(630) 262-3760
Mailing address
302 RANDALL RD, CADENCE PHYSICIAN GROUP, GENEVA, IL 60134-4220
(630) 262-7400
(630) 262-3760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081794
MI
207RG0100X
Gastroenterology Physician
Primary
036135009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE (GROUP)
IL
05
—
488406710
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
F400137084
MEDICARE (INDIVIDUAL)
IL
01
—
FK081794
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
06/04/2014
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