Nazih B Khatib, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036097389 Issued in IL

Practice address

6021 S Kedzie Ave
Chicago, IL 60629-3304

Phone

(773) 776-5330

Fax

(773) 776-5350

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Dr Khatib & Associates LTD

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1912271271
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1588677967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-776-5330",
            "fax_number": "773-776-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-776-5330",
            "fax_number": "773-776-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "NAZIH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036097389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001622181",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nandini P Khat Khate, M.D.
• Mahendra Khatau
• Abdarrhman Khater, MD
• Amal Khatib
• Aya Khatib, OTR/L
• Nermean Khatib, PHARMD
• Aava Khatiwada, MD
• Aliza Khatiwada, MD
• Aafreen Khatoon
• Asma Q Khatoon, M.D.

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.