Active NPI
Sumayyah Khan LTD
- Preferred Provider Organization
- Woodridge, IL
National Provider Identifier
1881878288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 019025700
- Legal business name
- SUMAYYAH KHAN LTD
- Practice address
- 2109 87TH St Suite 300
Woodridge, IL 60517-7575 - Phone
- (630) 427-2019
- Fax
- (630) 427-2018
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sumayyah Khan, DDS
- Title
- Doctor/Owner
- Phone
- (630) 472-2109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 019025700 | IL | Primary |
Addresses
Primary practice location
2109 87TH St Suite 300
Woodridge, IL 60517-7575
Mailing address
2109 87TH St Suite 300
Woodridge, IL 60517-7575
Phone (630) 427-2019
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1881878288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 87TH ST SUITE 300",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605177575",
"telephone_number": "630-427-2019",
"fax_number": "630-427-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 87TH ST SUITE 300",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605177575",
"telephone_number": "630-427-2019",
"fax_number": "630-427-2018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMAYYAH KHAN LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2025-02-14",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SUMAYYAH",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "630-472-2109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "IL",
"license": "019025700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.