Shaji Mohammed Khan, DO | |
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
(815) 334-5566 | |
(815) 759-4008 |
Full Name | Shaji Mohammed Khan |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 11 Years |
Location | 4201 W Medical Center Dr, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992124762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036146640 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | S1840 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Imaging Consultants Llc | 2567784408 | 169 |
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Advanced Radiology Consultants Sc | 7113822784 | 3 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Advanced Radiology Consultants Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750380119 PECOS PAC ID: 7113822784 Enrollment ID: O20040109000165 |
Entity Name | Mchenry Radiologists And Imaging Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083637094 PECOS PAC ID: 7810959004 Enrollment ID: O20041030000035 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
Mailing Address | Practice Location Address |
---|---|
Shaji Mohammed Khan, DO 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 | Shaji Mohammed Khan, DO 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 |
Ernest A Conti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Ste B203, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Abhijit Patil, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Matthew Groenwald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
James T Link, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Milton W Hummel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Dr. Aaron Wittenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Balatripura Voruganti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |