Individual
AMJAD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S 161 SUMMIT, OAK BROOK TERRACE, IL 60181-3904
(630) 932-8000
(630) 932-8025
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036047270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047270
—
IL
01
—
110231353
RAILROAD MEDICARE
IL
01
—
21606805
BCBS PROVIDER ID
IL
Enumeration date
09/29/2005
Last updated
10/30/2012
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