Individual
MAHJABEEN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3880 SALEM LAKE DR, SUITE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR, SUITE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036138961
IL
208M00000X
Hospitalist Physician
036138961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881034809
—
IL
Enumeration date
07/05/2013
Last updated
03/07/2023
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