Dr Fatima Sultana Khan, MD | |
225 E Chicago Ave, #60, Chicago, IL 60611-2991 | |
(312) 227-6010 | |
(312) 227-9401 |
Full Name | Dr Fatima Sultana Khan |
---|---|
Gender | Female |
Speciality | Allergy & Immunology |
Location | 225 E Chicago Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235157637 | NPI | - | NPPES |
036109307 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036109307 (Illinois) | Secondary |
208000000X | Pediatrics | 036109307 (Illinois) | Secondary |
207K00000X | Allergy & Immunology | 10422 (North Dakota) | Primary |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
Mailing Address | Practice Location Address |
---|---|
Dr Fatima Sultana Khan, MD 225 E Chicago Ave, #60, Chicago, IL 60611-2991 Ph: (312) 227-6010 | Dr Fatima Sultana Khan, MD 225 E Chicago Ave, #60, Chicago, IL 60611-2991 Ph: (312) 227-6010 |
Ayesha Siddiqi, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 30 N Michigan Ave, #1107, Chicago, IL 60602 Phone: 312-236-3642 Fax: 312-236-5162 | |
Kelly Klingler Newhall, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2551 N Clark St, Suite 100, Chicago, IL 60614 Phone: 773-388-2322 Fax: 773-388-2333 | |
Gayatri Patel, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St Ste 18-250, Chicago, IL 60611 Phone: 312-695-8624 Fax: 312-695-4141 | |
Aaron Thomas Donnell, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2551 N Clark St, Suite 100, Chicago, IL 60614 Phone: 773-388-2322 Fax: 773-388-2333 | |
Grant Edland, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Dr. Dolly Thomas, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 4014 N Central Ave, Chicago, IL 60634 Phone: 773-283-9594 Fax: 773-283-6711 | |
Dr. Bienvenido Tecson Lamorena, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 5356 W Diversey Ave, Chicago, IL 60639 Phone: 773-777-9400 Fax: 773-777-6917 |