Individual provider Active NPI

Khadija T Khan, MD

  • Psychiatry Physician
  • Downers Grove, IL
National Provider Identifier
1740387547
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036088983 Issued in IL
Practice address
1401 Branding Ave Ste 312
Downers Grove, IL 60515-1171
Phone
(630) 424-9204
Fax
(630) 424-4783
NPI assigned
Sep 20, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036088983 IL Primary

Addresses

Primary practice location

1401 Branding Ave Ste 312
Downers Grove, IL 60515-1171

Mailing address

PO Box 5970
Villa Park, IL 60181-5312
Phone (630) 424-9204

Other identifiers 1

IdentifierTypeStateIssuer
2227259OtherILBCBS PROVIDER NUMBER

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
I20101222000719 IL Practitioner - Psychiatry 0749478477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakbrook Behavioral Health LTDGroup PAC ID 5496740789, 6 clinicians

Practice addresses (Care Compare)

2803 Butterfield Rd
Suite 200
Oak Brook, IL 60523-1165
Phone (630) 424-9204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khadija Khan MDSC CurrentSince Jun 12, 2022 Accepting new patients

Locations

2803 Butterfield Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 424-0652

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1740387547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5970",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815312",
            "telephone_number": "630-424-9204",
            "fax_number": "630-424-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRANDING AVE STE 312",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151171",
            "telephone_number": "630-424-9204",
            "fax_number": "630-424-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHADIJA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036088983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "2227259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.