Organization
MANSOOR KHAN MD SC
Active
Organization
MANSOOR KHAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR KHAN MD (PRESIDENT)
(847) 952-7181
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD STE 407, ELK GROVE VILLAGE, IL 60007-3311
(847) 952-7181
(847) 437-8824
Mailing address
1120 HUNTER ST, LOMBARD, IL 60148-4822
(847) 952-7181
(847) 437-8824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036093169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO3620
RAILROAD MEDICARE
IL
Enumeration date
07/03/2007
Last updated
04/08/2009
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