MEDICARE: ALI TUFAIL KHAN

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	W1823	TX
2	208D00000X	General Practice Physician	W1823	TX

General Provider Information

NPI Number	:	1518485119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI TUFAIL KHAN

Provider Business Mailing Address
First Line	:	NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER
Second Line	:	240 E HURON STREET, SUITE 1-200
City	:	CHICAGO
State	:	IL
Zip	:	60611
Country	:	US
Telephone Number	:	312-503-7975
Fax Number	:

Provider Business Practice Location Address
First Line	:	NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER
Second Line	:	240 E HURON STREET, SUITE 1-200
City	:	CHICAGO
State	:	IL
Zip	:	60611
Country	:	US
Telephone Number	:	312-503-7975
Fax Number	:

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

Provider Enumeration Date	:	09/03/2017
Last Update Date	:	12/31/2025

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