Provider Demographics
NPI:1356433320
Name:RIAZ, MUHAMMAD KHALID (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:KHALID
Last Name:RIAZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 CENTER ST
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2106
Mailing Address - Country:US
Mailing Address - Phone:847-931-4200
Mailing Address - Fax:847-931-4217
Practice Address - Street 1:1975 LIN LOR LN STE 155
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4902
Practice Address - Country:US
Practice Address - Phone:847-717-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036049639207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00266079OtherRAILROAD MEDICARE
IL036049639Medicaid
ILP00266079OtherRAILROAD MEDICARE