Saleha Khan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036084178 Issued in IL

Practice address

9465 Est Fallingwater Drive
Burr Ridge, IL 60521

Phone

(630) 914-5373

Fax

(630) 410-8528

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Medical Specialists, II, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1689004863
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1831100569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 FALLING WATERS DR W",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276897",
            "telephone_number": "630-914-5373",
            "fax_number": "630-410-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 EST FALLINGWATER DRIVE",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-914-5373",
            "fax_number": "630-410-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SALEHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084178",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-084178",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Kell, LCSW
• Mary Jane Kelly, COTA
• Mouhammed Kelta, M.D
• Kerstin Blumhardt, PLLC
• Farisa Khan, P.T.
• Samah Khan, OTR/L
• King-Bruwaert House
• Jerome M Klafta, MD
• Peter A Klock, MD
• Jessica Klonoski-Paganis, LCSW

• Family Medicine Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.