DR. TARIQ HASIN KHAN (NPI# 1295176675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176675 |
| Entity Type | Individual |
| Full Name | DR. TARIQ HASIN KHAN |
| Credential | MD |
| Practice Address |
111 Spring St 3rd Floor Streator IL 61364-3332 |
| Practice Telephone | 8156724587 |
| Practice Fax Number | 8156733582 |
| Mailing Telephone | 8156724587 |
| Mailing Fax Number | 8156733582 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-139087 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396804662 | Tariq Asadullah Khan | Internal Medicine | Aat Suite 5300, 800 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2006-12-06 |
| 1831112473 | Tariq Jamil Khan | Internal Medicine | 4882 E Main St Ste 210, Columbus, OH 43213 | 2006-07-25 |
| 1922002906 | Tariq Mahmood Khan | Pediatrics | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2005-06-08 |
| 1659662674 | Tariq Rahman Khan | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2011-04-25 |
| 1750608899 | Tariq Rafiq Khan | Pediatrics | 817 E 180th St, Bronx, NY 10460-1305 | 2010-04-29 |
| 1295925253 | Tariq A Khan | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6091 | 2007-07-26 |
| 1346456092 | Tariq Nawaz Khan | Transplant Surgery | 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191 | 2007-05-16 |
| 1013928282 | Tariq J Khan | Internal Medicine | 8421 Pointe Loop Dr, Venice, FL 34293 | 2006-08-11 |
| 1750391298 | Tariq Khan | Emergency Medicine | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2006-08-08 |
| 1861401127 | Tariq A. Khan | Specialist | 7900 Airways Blvd, Bldg A Suite 3a, Southaven, MS 38671-4113 | 2006-08-05 |
| Street Address |
111 SPRING ST 3RD FLOOR |
| City | STREATOR |
| State | IL |
| Zip Code | 61364-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732725 | St. Mary's Hospital Streator Hospital Sisters of The 3rd Order St Fran | General Acute Care Hospital | 111 Spring St, Streator, IL 61364-3332 | 2005-06-30 |
| 1801410360 | Tyler Joseph Hogan | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2020-06-01 |
| 1407408149 | Jeanette T Mosley | Nurse Practitioner | 111 Spring St, Streator, IL 61364-3332 | 2019-07-12 |
| 1336614676 | Arika C Safranski | Nurse Practitioner | 111 Spring St, Streator, IL 61364-3332 | 2018-10-12 |
| 1922508480 | Megan Jeanne Rowe | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2018-02-20 |
| 1598271058 | Mary E Yuhas | Speech-Language Pathologist | 111 Spring St, Streator, IL 61364-3332 | 2017-12-20 |
| 1750709630 | St. Mary's Hospital | General Acute Care Hospital | 111 Spring St, Streator, IL 61364-3332 | 2014-03-28 |
| 1922422773 | Infinity-meds LLP | Emergency Medicine | 111 Spring St, Streator, IL 61364-3332 | 2014-02-14 |
| 1003161951 | Rebecca Elizabeth Lucas | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2012-07-17 |
| 1003171133 | Monelyn R Rabago | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2012-07-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093110066 | Ottawa Friendship House Work Activity Center, Inc | Intermediate Care Facility, Mentally Retarded | 600 West 12th Street, Streator, IL 61364 | 2014-11-03 |
| 1306278973 | Robert Henry Harms | Veterinarian | 701 Oakley Ave, Streator, IL 61364 | 2013-08-06 |
| 1518202373 | Jessica L Hartman | Nurse Practitioner | 2377 N Bloomington St, Streator, IL 61364 | 2012-12-05 |
| 1992049563 | Wendell Allen Sargent | Dentist | 106 Boys St, Streator, IL 61364 | 2012-11-20 |
| 1215266036 | Sudha Pravinkumar | Internal Medicine | 2377 Bloomington Ave, Ste B, Streator, IL 61364 | 2009-12-08 |
| 1497988984 | Lifetime Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1215 N Ottercreek Rd., Streator, IL 61364 | 2009-08-31 |
| 1275709727 | Fresenius Medical Care of Illinois LLC | Clinic/Center | 2356 North Bloomington St, Streator, IL 61364 | 2008-05-05 |
| 1487701793 | Tammy R Thieme | Social Worker | 17 North Point Plaza, Streator, IL 61364 | 2007-01-05 |
| 1629185376 | Gary Finkelstein Md Eye Associates Sc | Ophthalmology | 102 West Elm Street, Streator, IL 61364 | 2006-08-25 |
| 1134150808 | Indra Pal Mdsc | Internal Medicine | 104 Sixth Street, Streator, IL 61364 | 2006-07-05 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669494340 | Theodore Kohn | Family Medicine | 307 E Hickory St, Streator, IL 61364-2249 | 2006-07-24 |
| 1457304156 | Mark A Wargo | Family Medicine | 109 E Elm St, Streator, IL 61364-2223 | 2006-05-17 |
| 1144432790 | Streator Medical Services, PC | Family Medicine | 409 E Bridge St, Streator, IL 61364-2915 | 2007-05-04 |
| 1518181015 | Parkview Family Practice, P.C. | Family Medicine | 109 E Elm St, Streator, IL 61364-2223 | 2007-04-13 |
| 1730134073 | Glen L Ricca | Family Medicine | 109 E Elm St, Streator, IL 61364-2223 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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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.