Khawaja Medical Associates LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036110331 Issued in IL

Legal business name

KHAWAJA MEDICAL ASSOCIATES LTD

Practice address

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Phone

(708) 474-4000

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Wasim Q Khawaja, MD

Title

President

Phone

(708) 478-7201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1306106604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E WILSON AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483765",
            "telephone_number": "708-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-474-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAWAJA MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "WASIM",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-478-7201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farooq Hassan Khan, M.D.
• Moeen Khan
• Mohammed Yousuf Khan
• Omair Khan
• Saifullah Khan, MBBS
• Wasim Khawaja, M.D.
• Kidney Care Center Olympia Fields LLC
• Hassan Kieso
• Melissa Mae Kilianek
• Maryellen Kilkenny, CRNA

• Internal Medicine Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.