Individual
HUMERA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 AUSTIN ST STE 505, EVANSTON, IL 60202-3439
(847) 733-1495
(847) 733-1994
Mailing address
1000 REMINGTON BLVD STE 100, BOLINGBROOK, IL 60440-4707
(630) 914-2898
(630) 914-2469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-111382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-111382
—
IL
Enumeration date
08/09/2007
Last updated
03/19/2021
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