MEDICARE: BASHARATH ALI KHAN DO

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	036165738	IL
2	208M00000X	Hospitalist Physician	036165738	IL

General Provider Information

NPI Number	:	1760004345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASHARATH ALI KHAN DO

Provider Business Mailing Address
First Line	:	5145 N CALIFORNIA AVE STE 331
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3687
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:	773-989-1734

Provider Business Practice Location Address
First Line	:	5145 N CALIFORNIA AVE STE 331
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3687
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:	773-989-1734

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

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	10/02/2023

Similar Medicare Providers

1801410022 — JAMES RUSKA D.O.
Practice Location Address:

5145 N CALIFORNIA AVE
CHICAGO, IL
60625-3687

Practice Phone: 773-878-8200
Practice Fax:

1467471185 — DR. FELICIA G LANE-FINCHER M.D.
Practice Location Address:

5145 N CALIFORNIA AVE FL 3
CHICAGO, IL
60625-3687

Practice Phone: 773-878-8200
Practice Fax:

1285835025 — CHERISE COKLEY MD
Practice Location Address:

5145 N CALIFORNIA AVE FL 3
CHICAGO, IL
60625-3687

Practice Phone: 773-989-3834
Practice Fax: 773-275-2433

1225527641 — KERSTIN LITWIN APRN
Practice Location Address:

5145 N CALIFORNIA AVE
CHICAGO, IL
60625-3687

Practice Phone: 773-878-8200
Practice Fax:

1689169690 — BIMEL THOMAS MD
Practice Location Address:

5145 N CALIFORNIA AVE
CHICAGO, IL
60625-3687

Practice Phone: 773-878-8200
Practice Fax: 773-989-1734

1114580115 — NATHAN BOUNYONG DO
Practice Location Address:

5145 N CALIFORNIA AVE
CHICAGO, IL
60625-3687

Practice Phone: 773-989-3808
Practice Fax:

Directions to “ BASHARATH ALI KHAN DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.