Individual provider Active NPI

Faryal Khan, MD

  • Family Medicine Physician
  • Huntley, IL
National Provider Identifier
1245961176
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036173084 Issued in IL
Practice address
10350 Haligus Rd Ste 200B
Huntley, IL 60142-9585
Phone
(847) 669-3880
Fax
(847) 669-2980
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.080325 IL
Family Medicine Physician 207Q00000X 036173084 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste 200B
Huntley, IL 60142-9585

Mailing address

10350 Haligus Rd Ste 200B
Huntley, IL 60142-9585
Phone (847) 669-3880

Other practice location 1

1625 E 75th St Fl 1
Chicago, IL 60649-3603
Phone (773) 947-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002297 IL Practitioner - Family Practice 4486165545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Suite 200B
Huntley, IL 60142-9585
Phone (847) 669-3880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.080325ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2025 Accepting new patients
Jackson Park Hospital PastSince Jun 1, 2022 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

10350 Haligus Rd
Ste 200B
Huntley, IL 60142
Phone (847) 669-3880

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1245961176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 200B",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429585",
            "telephone_number": "847-669-3880",
            "fax_number": "847-669-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 200B",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429585",
            "telephone_number": "847-669-3880",
            "fax_number": "847-669-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 E 75th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493603",
            "country_code": "US",
            "telephone_number": "773-947-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.080325",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036173084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.