Provider Demographics
NPI:1881878288
Name:SUMAYYAH KHAN LTD
Entity type:Organization
Organization Name:SUMAYYAH KHAN LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMAYYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-472-2109
Mailing Address - Street 1:2109 87TH ST SUITE 300
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-7575
Mailing Address - Country:US
Mailing Address - Phone:630-427-2019
Mailing Address - Fax:630-427-2018
Practice Address - Street 1:2109 87TH ST SUITE 300
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-7575
Practice Address - Country:US
Practice Address - Phone:630-427-2019
Practice Address - Fax:630-427-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019025700305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization