MEDICARE: NITIN KHER MD SC

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	207RI0011X	Interventional Cardiology Physician	036085008	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DP2616	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5632380	OTHER	IL	BCBS PROV #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316192974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NITIN KHER MD SC

Provider Business Mailing Address
First Line	:	PO BOX 787
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60051-9013
Country	:	US
Telephone Number	:	224-238-4160
Fax Number	:	847-214-9489

Provider Business Practice Location Address
First Line	:	690 E TERRA COTTA AVE STE A
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-3605
Country	:	US
Telephone Number	:	815-307-8075
Fax Number	:	815-344-4302

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NITIN KHER
Credential	:	MD
Telephone Number	:	815-307-8075

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	07/07/2023

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Directions to “NITIN KHER MD SC ” Practice Location

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