Dr Mohammad Kamran Khan, DO | |
1890 Silver Cross Blvd, New Lenox, IL 60451 | |
(815) 723-4387 | |
(815) 723-4634 |
Full Name | Dr Mohammad Kamran Khan |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 21 Years |
Location | 1890 Silver Cross Blvd, New Lenox, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982912655 | NPI | - | NPPES |
206147 | Other | IL | MEDICARE (GROUP) |
036121940 | Medicaid | IL | |
206147203 | Other | IL | MEDICARE (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 20A11564 (California) | Secondary |
207T00000X | Neurological Surgery | 036121940 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crown Home Health Services Inc | Chicago, IL | Home health agency |
Edward Hospital | Naperville, IL | Hospital |
Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Edward Health Ventures |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Kamran Khan, DO 1890 Silver Cross Blvd, New Lenox, IL 60451-9518 Ph: (815) 723-4387 | Dr Mohammad Kamran Khan, DO 1890 Silver Cross Blvd, New Lenox, IL 60451 Ph: (815) 723-4387 |
Dr. Thomas Richard Hurley, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1890 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-723-4387 Fax: 815-723-4634 |