Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 036115631 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | 036115631 | IL |
NPI | 1093806689 |
---|---|
Provider Name | Naveed Khan |
First Address | Chicago, IL 60608-2327 |
Second Address | Chicago, IL 60608-2327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 19/03/2021 |