NPIMap

Organization Active NPI

Cardiorenal Therapeutics of Illinois PLLC

  • Nephrology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1336752682
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CARDIORENAL THERAPEUTICS OF ILLINOIS PLLC
Practice address
18W140 Butterfield Rd FL 15
Ste1523A
Oakbrook Terrace, IL 60181-4843
Phone
(773) 276-2655
Fax
(773) 639-2346
NPI assigned
Aug 26, 2020
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Farhan Khan, MDNPI 1760593693
Title
Owner
Phone
(773) 276-2655

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)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

18W140 Butterfield Rd FL 15
Ste1523A
Oakbrook Terrace, IL 60181-4843

Mailing address

PO Box 516
Oregon, IL 61061-0516
Phone (773) 276-2655

Other practice location 1

948 N Damen Ave
Chicago, IL 60622-4910
Phone (773) 276-2655

Other practice location 2

6N558 Kim Lane
St Charles, IL 60175
Phone (773) 276-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, WI, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210127003081 IL Part B Supplier - Clinic/Group Practice 5395159677 Receives reassigned benefits from 41 practitioners
Practice locations: Chicago, IL
O20220309000152 IN Part B Supplier - Clinic/Group Practice 5395159677 Receives reassigned benefits from 5 practitioners
Practice locations: Indianapolis, IN
O20230124003165 WI Part B Supplier - Clinic/Group Practice 5395159677 Receives reassigned benefits from 4 practitioners
Practice locations: Racine, WI
O20250619000328 OH Part B Supplier - Clinic/Group Practice 5395159677 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

300 W Washington St
Oregon, IL 61061
Phone (815) 298-9470

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1336752682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516",
            "telephone_number": "773-276-2655",
            "fax_number": "773-639-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18W140 BUTTERFIELD RD FL 15",
            "address_2": "STE1523A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814843",
            "telephone_number": "773-276-2655",
            "fax_number": "773-639-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "948 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606224910",
            "country_code": "US",
            "telephone_number": "773-276-2655",
            "fax_number": "773-639-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6N558 Kim Lane",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "60175",
            "country_code": "US",
            "telephone_number": "773-276-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIORENAL THERAPEUTICS OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-276-2655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.

Verify at the official NPI Registry.