MEDICARE: DR. AMIR JAVED KHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036164058	IL
2	207R00000X	Internal Medicine Physician	35.144049	OH
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	036-164058	IL

General Provider Information

NPI Number	:	1235661430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR JAVED KHAN M.D.

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 HOFFMAN BLVD
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-3722
Country	:	US
Telephone Number	:	815-206-5700
Fax Number	:	847-382-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	08/11/2025

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