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NPI Code Detail

MEDICARE: DR. HUMA ALI KHAN MD

MEDICARE: DR. HUMA ALI KHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician036127878IL
2208000000XPediatrics Physician036127878IL

General Provider Information

NPI Number : 1467614750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUMA ALI KHAN MD
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 9730 S WESTERN AVE STE 500
Second Line :
City : EVERGREEN PARK
State : IL
Zip : 60805-2780
Country : US
Telephone Number : 708-425-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 02/02/2026

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Directions to “ DR. HUMA ALI KHAN MD” Practice Location

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