Individual provider Active NPI

Shehwar Khan, MD

  • Family Medicine Physician
  • Morton Grove, IL
National Provider Identifier
1568622744
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C172872 Issued in CA
Practice address
8530 Major Avenue
Morton Grove, IL 60053-3141
Phone
(312) 933-1047
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.120243 IL
Occupational Medicine Physician 2083X0100X 036120243 IL
Family Medicine Physician 207Q00000X C172872 CA Primary

Addresses

Primary practice location

8530 Major Avenue
Morton Grove, IL 60053-3141

Mailing address

8530 Major Avenue
Morton Grove, IL 60053-3141
Phone (312) 933-1047

Other names 1

  • Shehwar Ziauddin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C172872CAMDFamily Medicine Physician
036.120243ILMDFamily Medicine Physician
036120243ILMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Countryview Medical Center SC Past Accepting new patients
Midwest Medical Home Inc Family Medicine PastSince Jun 2, 2010 Accepting new patients
Illinois Back and Joint PLLC Family Medicine PastSince Jan 19, 2023 Accepting new patients
Wheaton Medical SC Family Medicine PastSince Nov 6, 2012 Accepting new patients
Countryside Medical SC Past Accepting new patients
Integrated Health Care Providers LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1568622744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 MAJOR AVENUE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533141",
            "telephone_number": "312-933-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 MAJOR AVENUE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533141",
            "telephone_number": "312-933-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHEHWAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.120243",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036120243",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C172872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEHWAR",
            "last_name": "ZIAUDDIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.