Organization
COMPLETE CHILD HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD MAHMUD KHAN MD (PEDIATRICIAN)
(630) 771-1630
Entity
Organization
Contact information
Practice address
498 W BOUGHTON RD, SUITE 102, BOLINGBROOK, IL 60440-1893
(630) 771-1630
(630) 771-1631
Mailing address
498 W BOUGHTON RD, SUITE 102, BOLINGBROOK, IL 60440-1893
(630) 771-1630
(630) 771-1631
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036109931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109931
—
IL
Enumeration date
07/02/2010
Last updated
07/02/2010
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