Provider Demographics
NPI:1851501498
Name:ANJALI KHER, M.D., S.C.
Entity Type:Organization
Organization Name:ANJALI KHER, M.D., S.C.
Other - Org Name:SUBURBAN HEALTHCARE ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-609-3627
Mailing Address - Street 1:PO BOX 9200
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-0200
Mailing Address - Country:US
Mailing Address - Phone:815-609-3627
Mailing Address - Fax:815-609-1328
Practice Address - Street 1:13415 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5676
Practice Address - Country:US
Practice Address - Phone:815-609-3627
Practice Address - Fax:815-609-1328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036104529208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036104529Medicaid
ILH58338Medicare UPIN