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General NPI Number Information
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NPI Number | 1427467703
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Entity Type | Individual
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Provider Name | SAMEER KHAN DPM
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Gender | Male
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 6326 CERMAK RD
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City | BERWYN
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State | IL
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Zip | 60402-2304
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Country | US
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Telephone | 708-303-9234
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Fax | 773-729-2074
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Provider Business Mailing Address
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Address Line | 6326 CERMAK RD
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City | BERWYN
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State | IL
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Zip | 60402-2304
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Country | US
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Telephone | 708-303-9234
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Fax | 773-729-2074
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005804
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | R93661
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 966
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License Number State | MN
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