FAROOQ ANWAR KHAN (NPI# 1104082320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104082320 |
| Entity Type | Individual |
| Full Name | FAROOQ ANWAR KHAN |
| Credential | MD |
| Practice Address |
5201 Willow Springs Rd Suite 110 La Grange Highlands IL 60525-6537 |
| Practice Telephone | 7084824500 |
| Practice Fax Number | 7084824502 |
| Mailing Telephone | 7084824500 |
| Mailing Fax Number | 7084824502 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 125048096 | IL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036125625 | IL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036125625 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1164451308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981337 | Farooq I Khan | Psychiatry & Neurology | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3662 | 2005-06-10 |
| 1861797276 | Farooq Hassan Khan | Internal Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2011-01-14 |
| 1487716510 | Farooq Ha Khan | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-14 |
| Street Address |
5201 WILLOW SPRINGS RD SUITE 110 |
| City | LA GRANGE HIGHLANDS |
| State | IL |
| Zip Code | 60525-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580870 | May T Chow | Internal Medicine | 5201 Willow Springs Rd, Suite 260, La Grange Highlands, IL 60525-6537 | 2005-07-05 |
| 1316397383 | Angela Sourounis | Counselor | 5201 Willow Springs Rd, La Grange Highlands, IL 60525-6537 | 2016-06-20 |
| 1710367479 | Kimberley Lynn Yasmine | Student in an Organized Health Care Education/Training Program | 5201 Willow Springs Rd, 2nd Floor, La Grange Highlands, IL 60525-6537 | 2015-06-08 |
| 1205216975 | Peter Sobiech | Student in an Organized Health Care Education/Training Program | 5201 Willow Springs Rd, 2nd Floor, La Grange Highlands, IL 60525-6537 | 2015-06-08 |
| 1629475876 | Paula J Gonzalez | Counselor | 5201 Willow Springs Rd, Suite 180, La Grange Highlands, IL 60525-2689 | 2014-12-02 |
| 1144651878 | Adventist Health Partners, Inc | Obstetrics & Gynecology | 5201 Willow Springs Rd, Suite 120, La Grange Highlands, IL 60525-6537 | 2013-12-05 |
| 1659703726 | Mustafa Hakim | Specialist/Technologist, Other | 5201 Willow Springs Rd, Ste 290, La Grange Highlands, IL 60525-6537 | 2013-07-31 |
| 1518309376 | Jili Sun | Specialist/Technologist, Other | 5201 Willow Springs Rd, Ste 290, La Grange Highlands, IL 60525-6537 | 2013-07-22 |
| 1124363619 | Barbara T Borgione | Physician Assistant | 5201 Willow Springs Rd, Suite 430, La Grange Highlands, IL 60525-6537 | 2012-12-10 |
| 1831454537 | Carol P Rodgers | Registered Nurse | 5201 Willow Springs Rd, Suite 380, La Grange Highlands, IL 60525-6537 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365005 | Interventional Pain Consultants LLC | Pain Medicine | 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 | 2020-01-21 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1598033953 | Manuel P. Blas | Pain Medicine | 1103 Berkley Ln, Lemont, IL 60439-8940 | 2011-12-13 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1295811479 | Illinois Pain Treatment Institute, Ltd | Pain Medicine | 431 Summit, Elgin, IL 60120 | 2006-10-31 |
| 1164519005 | Wayne David Kelly | Pain Medicine | 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 | 2006-10-10 |
| 1417060146 | Ramesh Bathina | Pain Medicine | 1315 N Highland Ave # 105, Aurora, IL 60506-1400 | 2006-08-16 |
| 1457375115 | Terri L Dallas-prunskis | Pain Medicine | 4309 Medical Center Dr, B103, Mchenry, IL 60050 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | LA GRANGE HIGHLANDS |
| Zip Code | 60525 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.