DR. FAIZAN KHAN (NPI# 1417478280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417478280 |
| Entity Type | Individual |
| Full Name | DR. FAIZAN KHAN |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7082163792 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4351042311 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301113329 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
036.152993 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Lafayette Ave Se Ste 3000, Grand Rapids, MI 495034692 | (616) 685-6919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194022541 | Faizan Ali Khan | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2011-02-22 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669769824 | Saba Farooq | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-07-07 |
| 1821297870 | Natasha Marie Von Roenn | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-07-11 |
| 1225142730 | Scott J Cotler | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-08-19 |
| 1891809620 | Jamie L. Berkes | Internal Medicine | 2160 S 1st Ave, Mulcahy Center, Maywood, IL 60153-3328 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083835201 | Sandhya Sai Sathyakumar | Internal Medicine | 7900 N. Milwaukee, Ste 231, Niles, IL 60714 | 2007-05-02 |
| 1912088782 | Steven Joseph Scaglione | Internal Medicine | 9th Avenue, Hines, IL 60141 | 2006-10-18 |
| 1205857695 | Bernard A Nemchausky | Internal Medicine | 16w709 Marybeth Ct, Willowbrook, IL 60527-7052 | 2006-07-21 |
| 1275018020 | Andrea A Brown | Internal Medicine | 1801 W Taylor St Ste 1b, Chicago, IL 60612-4795 | 2018-09-27 |
| 1841552999 | Advanced Liver and Gastrointestinal Disease Center LLC | Internal Medicine | 3501 Harlem Ave, Berwyn, IL 60402-3263 | 2012-06-14 |
| 1114205176 | Midwest Gi and Hepatology, LLC | Internal Medicine | 610 S Maple Ave, Suite 2600, Oak Park, IL 60304-1091 | 2011-07-25 |
| 1740496512 | Christopher M Moore | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2007-05-16 |
| 1750300711 | Rush University Medical Center | Internal Medicine | 1725 W Harrison St, Suite 158, Chicago, IL 60612-3841 | 2006-07-19 |
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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.