Provider Demographics
NPI:1851302939
Name:KHAN, AKBER ALI (MD)
Entity Type:Individual
Prefix:
First Name:AKBER
Middle Name:ALI
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4615
Mailing Address - Country:US
Mailing Address - Phone:847-697-9553
Mailing Address - Fax:
Practice Address - Street 1:825 E GOLF RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5700
Practice Address - Country:US
Practice Address - Phone:847-640-9180
Practice Address - Fax:847-640-4450
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH26418Medicare UPIN