Millennium Park Medical Associates, S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036103943 Issued in IL

Legal business name

MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.

Practice address

30 S Michigan Ave Ste 500
Chicago, IL 60603-3205

Phone

(312) 977-1185

Fax

(312) 977-1188

NPI assigned

Oct 3, 2007

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farah N Khan, M.D., F.A.C.P.NPI 1861434896

Title

Owner, Ceo

Phone

(312) 977-1185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Farah N Khan, MD

  • Internal Medicine Physician
  • Greenwood Village, CO
  • NPI 1861434896

  IL

  Medicare reassignment NPD Authorized official
• Brittany Graft

  • Nurse Practitioner
  • Warrenville, IL
  • NPI 1205373461
  Medicare reassignment NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1700073780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S MICHIGAN AVE",
            "address_2": "SUITE #500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033211",
            "telephone_number": "312-977-1185",
            "fax_number": "312-977-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033205",
            "telephone_number": "312-977-1185",
            "fax_number": "312-977-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "312-977-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036103943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Behavior Health Services
• Millennium Behavior Health Services
• Millennium Dental Specialist
• Millennium Medical Group, LLC (Millennium Wellness Group, LLC)
• Millennium Park Dermatology, S.C.
• Millennium Park Psychological Associates, LLC
• Millennium Park Smiles, LLC
• Millennium Surgical, Inc
• Millenova
• Andrea M Miller Finch, D.D.S.

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.