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General NPI Number Information
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NPI Number | 1184253544
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Entity Type | Individual
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Provider Name | AYESHA KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1331 W 75TH ST STE 201
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City | NAPERVILLE
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State | IL
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Zip | 60540-9311
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Country | US
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Telephone | 630-527-5000
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Fax | 630-527-5440
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-507-2040
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Fax | 847-733-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036166190
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036-166190
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License Number State | IL
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