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General NPI Number Information
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NPI Number | 1336752682
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Entity Type | Organization
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Legal Business Name | CARDIORENAL THERAPEUTICS OF ILLINOIS PLLC
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 18W140 BUTTERFIELD RD FL 15 STE1523A
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4843
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Country | US
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Telephone | 773-276-2655
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Fax | 773-639-2346
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Provider Business Mailing Address
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Address Line | PO BOX 516
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City | OREGON
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State | IL
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Zip | 61061-0516
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Country | US
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Telephone | 773-276-2655
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Fax | 773-639-2346
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Authorized Official
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Title or Position | OWNER
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Name | FARHAN KHAN
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Credential | MD
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Telephone | 773-276-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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