Kamran Khan, SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036121940 Issued in IL

Legal business name

KAMRAN KHAN, SC

Practice address

1890 Silver Cross Blvd Ste 450
New Lenox, IL 60451-9518

Phone

(815) 723-4387

Fax

(815) 723-4634

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Laurie A Guagenti

Title

Biller

Phone

(312) 480-5186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1891281499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184111",
            "telephone_number": "708-869-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 450",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519518",
            "telephone_number": "815-723-4387",
            "fax_number": "815-723-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN KHAN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "GUAGENTI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "312-480-5186"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036121940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121940",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jr Neuroscience Pain and Rehab Co.
• Kaitlin Juricek, PHARMD
• Hysoo Ka-Widmann, M.D.
• Lauren Kaczmarski
• Aimee A Kameron, DPT
• Jennifer A Kantorski, RPH
• Monica Karneboge, M.A.
• Nicole Karolich
• Madeline Kasper
• Catherine Katilius

• Neurological Surgery Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.