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General NPI Number Information
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NPI Number | 1205896974
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Entity Type | Individual
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Provider Name | ANILA KHAN DO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 825 E GOLF RD STE 1430
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5700
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Country | US
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Telephone | 224-508-8774
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Fax | 224-298-0341
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Provider Business Mailing Address
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Address Line | 7061 N KEDZIE AVE STE 1402
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City | CHICAGO
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State | IL
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Zip | 60645-2869
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Country | US
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Telephone | 224-508-8774
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Fax | 224-298-0341
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036131409
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License Number State | IL
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