Individual
KHADIJA T KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 BRANDING AVE STE 312, DOWNERS GROVE, IL 60515-1171
(630) 424-9204
(630) 424-4783
Mailing address
PO BOX 5970, VILLA PARK, IL 60181-5312
(630) 424-9204
(630) 424-4783
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036088983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2227259
BCBS PROVIDER NUMBER
IL
Enumeration date
09/20/2006
Last updated
09/02/2025
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