Khan, Mohammad Ajmal
Khan, Mohammad Ajmal is an sole proprietor health care provider with primary practice located at 610 S Maple Ave Suite 3440, Oak Park IL 60304-1091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad Ajmal can be contacted via phone (708) 660-5017.Contact Information
Primary practice address
610 S Maple Ave Suite 3440
Oak Park IL 60304-1091
Phone: (708) 660-5017
Fax: (708) 660-5349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036094223 | Illinois |
Profile Details
| NPI number | 1487653838 |
|---|---|
| LBN Legal business name | Khan, Mohammad Ajmal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 15th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487653838 | NPPES |
| Illinois | MEDICAID | 036094223 |
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