Individual provider Active NPI

Iman Khan, MD

  • Obstetrics & Gynecology Physician
  • Willowbrook, IL
National Provider Identifier
1356902498
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.171227 Issued in IL
Practice address
545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601
Phone
(630) 654-2229
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.171227 IL Primary

Addresses

Primary practice location

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601

Mailing address

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601
Phone (630) 654-2229

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
I20241203002904 IL Practitioner - General Surgery 1557787074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Suburban Womens Health LTDGroup PAC ID 5597848879, 7 clinicians

Practice addresses (Care Compare)

545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7601
Phone (630) 654-2229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.171227ILMDObstetrics & Gynecology Physician
8613WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Womens Health LTD Obstetrics & Gynecology CurrentSince Sep 23, 2024 Accepting new patients

Locations

545 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 269-2886

545 Plainfield Rd
Ste C
Willowbrook, IL 60527
Phone (630) 654-2229

Organizations & group practices 1

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 4

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1356902498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601",
            "telephone_number": "630-654-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601",
            "telephone_number": "630-654-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.171227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.