MOHAMMED ILYAS AHMED KHAN


Address: 2400 N Rockton Ave, Palliative Care, Rockford, IL 61103-3655
Phone: 8159715000

MOHAMMED ILYAS AHMED KHAN (NPI# 1417198011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417198011
Entity Type Individual
Full Name MOHAMMED ILYAS AHMED KHAN
Credential M.D.,
Practice Address 2400 N Rockton Ave
Palliative Care
Rockford
IL 61103-3655
Practice Telephone 8159715000
Practice Fax Number 8159689677
Mailing Telephone 9159715000
Mailing Fax Number 8159689677
Enumeration Date 2009-03-12
Last Update Date 2014-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
036135854 IL Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
35.093467 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 3058131 05

Office Location

Street Address 2400 N ROCKTON AVE
PALLIATIVE CARE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023508769 Stephanie Birmingham Internal Medicine 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831516616 Aspire Health Medical Partners of Illinois Sc Internal Medicine 25400 N Saint Marys Rd, Libertyville, IL 60048-9460 2014-03-18
1164686218 Wilfredo Jose Romero Ubillus Internal Medicine 101 Madison St Ste 3, Oak Park, IL 60302 2008-07-17
1457566614 Patricia Jean Ritzman Internal Medicine 410 S Hager Ave, Barrington, IL 60010-4107 2007-05-11
1609090448 Richard Sloan Wilbur Internal Medicine 985 Hawthorne Pl, Lake Forest, IL 60045-2217 2007-04-12
1013039239 Robert Lenet Md, Mai Phan Md, S.c Internal Medicine 150 E Huron St Ste 906, Chicago, IL 60611-2946 2007-04-06
1518906841 Jenelyn Ching Lim Internal Medicine 1717 West Congress Pkwy, Suite 1125, Chicago, IL 60612 2006-06-05
1154371672 Eytan Szmuilowicz Internal Medicine 233 E Superior St, Chicago, IL 60611-2913 2006-05-12
1235614926 Alc Palliative and Hospice Care, Inc Internal Medicine 477 E Butterfield Rd Ste 400, Lombard, IL 60148-4881 2018-09-27
1982083242 Gina Marie Piscitello Internal Medicine 5841 S Maryland Ave, Room A700; Mc-7082, Chicago, IL 60637-1447 2015-05-20
1639584030 Jonathan Michael Roselman Internal Medicine 1750 W Harrison St, Chicago, IL 60612 2014-06-24
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Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

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.

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