Active NPI
N M Khan M D S C
- Specialist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- N M KHAN M D S C
- Practice address
- 7600 W College Dr
2ND Floor
Palos Heights, IL 60463-1001 - Phone
- (708) 671-1800
- Fax
- (708) 671-1803
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noorun Khan, MD
- Title
- Owner
- Phone
- (630) 244-2841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
7600 W College Dr
2ND Floor
Palos Heights, IL 60463-1001
Mailing address
PO Box 393
Worth, IL 60482-0393
Phone (630) 551-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6234 S Narragansett Ave
Chicago, IL 60638
Phone (773) 586-3456
11950 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-9450
234 Garden St
#A
Yorkville, IL 60560
Phone (630) 820-7045
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1548234073
-
- Family Nurse Practitioner
- Palos Heights, IL
- NPI 1215570247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339200000000",
"number": "1164636585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "WORTH",
"state": "IL",
"postal_code": "604820393",
"telephone_number": "630-551-1097",
"fax_number": "630-551-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 W COLLEGE DR",
"address_2": "2ND FLOOR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631001",
"telephone_number": "708-671-1800",
"fax_number": "708-671-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N M KHAN M D S C",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2012-06-09",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "NOORUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-244-2841",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.