Physician Compare National (NPI:1821280256)

HEALTHCARE PROVIDER: HUMERA KHAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821280256
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658512140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130725000571
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHAN
	Individual professional last name
Provider First Name	HUMERA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PRESENCE HEALTHCARE SERVICES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2860396769
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	343
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4905 OLD ORCHARD CTR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 634
	Group Practice or individual's line 2 address
City	SKOKIE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600771460
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8476795100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRESENCE SAINT FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y