MOHAMMAD AJMAL KHAN


Address: 610 S Maple Ave, Suite 3440, Oak Park, IL 60304-1091
Phone: 7086605017

MOHAMMAD AJMAL KHAN (NPI# 1487653838) 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) 1487653838
Entity Type Individual
Full Name MOHAMMAD AJMAL KHAN
Credential M.D.
Practice Address 610 S Maple Ave
Suite 3440
Oak Park
IL 60304-1091
Mailing Address Po Box 1120
Matteson
IL 60443-4120
Practice Telephone 7086605017
Practice Fax Number 7086605349
Mailing Telephone 7087475850
Mailing Fax Number 7087479991
Enumeration Date 2005-07-19
Last Update Date 2010-07-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036094223 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036094223 05

Other Providers MOHAMMAD KHAN

NPI Name Taxonomy Address Enumeration
1275130619 Mohammad Afzal Khan Nurse Practitioner 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 2020-10-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1609336668 Mohammad Ali Khan Student in an Organized Health Care Education/Training Program 12531 Quarterhorse Dr, Bowie, MD 20720-4328 2019-03-24
1740754399 Mohammad S Khan Pharmacy 41 Grant St Apt 1, Yonkers, NY 10704-2362 2019-01-17
1497242382 Mohammad Ahmad Khan Student in an Organized Health Care Education/Training Program 15000 W Airport Blvd Apt 1133, Sugar Land, TX 77498-7259 2018-04-17
1669979563 Mohammad Junayed Khan Student in an Organized Health Care Education/Training Program 869 Andover Rd, Lansdale, PA 19446-1811 2018-04-09
1366952897 Mohammad Abbas Khan Dentist 237 Worthen Rd E, Lexington, MA 02421-6129 2017-10-11
1659791663 Mohammad Ibraheem Khan Internal Medicine Stony Brook Ufpc Practice 101 Nicolls Road Hsc T17-060, Stony Brook, NY 11794-6999 2014-04-17
1356696504 Mohammad Arsalan Khan Dentist 4114 Medical Drive Apt #25107, San Antonio, TX 78229-4034 2012-07-13
1750687786 Mohammad Mussadiq Khan Surgery 4245 Altura Mesa Ln Ne, Albuquerque, NM 87110-5058 2011-02-09

Office Location

Street Address 610 S MAPLE AVE
SUITE 3440
City OAK PARK
State IL
Zip Code 60304-1091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619356649 Encounter Medical Clinic/Center 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 2015-05-22
1265833826 Megan Rosemary Reichard Nurse Practitioner 610 S Maple Ave, Oak Park, IL 60304-1091 2014-09-12
1215337753 Nathaniel Cercavschi Physical Therapist 610 S Maple Ave, Oak Park, IL 60304-1091 2014-09-03
1124447412 Encounter Medical Group, P.C. Community/Behavioral Health 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 2014-04-15
1205258209 Health Delivery Management, LLC Pharmacy 610 S Maple Ave, Suite 1600, Oak Park, IL 60304-1091 2014-01-09
1033468665 Ashley Serfilippi Student in an Organized Health Care Education/Training Program 610 S Maple Ave, Oak Park, IL 60304-1091 2012-08-29
1396093720 Andrea Grubb Barthwell General Practice 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 2012-08-15
1396018453 Rush Oak Park Physicians Group Anchor Internal Medicine 610 S Maple Ave, Suite 3900, Oak Park, IL 60304-1091 2012-02-20
1548531924 Rush Oak Park Physicians Group Adult Medicine Internal Medicine 610 S Maple Ave, Suite 4600, Oak Park, IL 60304-1091 2012-01-18
1194096610 Rush Oak Park Physicians Group Family Medicine Family Medicine 610 S Maple Ave, Suite 2500, Oak Park, IL 60304-1091 2012-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689288532 Kane Physiotherapy, LLC Physical Therapist 617 S. Harvey Ave., Oak Park, IL 60304 2020-09-08
1982221909 Rachel Hunter Marriage & Family Therapist 283 Fillmore Street, Oak Park, IL 60304 2020-06-26
1073086211 Miguel N Reyes Jr. Behavioral Analyst 6930 Roosevelt Rd., Oak Park, IL 60304 2019-01-10
1144722687 Jesus Torres Behavior Technician 6930 W Roosevelt Rd, Oak Park, IL 60304 2018-03-01
1184143190 Ruth Sharel Babcock Social Worker 927 S. Kenilworth Ave., Oak Park, IL 60304 2017-09-12
1053832774 Anna M Bonick Doula 528 S. Taylor Ave., Oak Park, IL 60304 2017-07-03
1982968806 Monica Singhvi Family Medicine 610 S Maple Ave Ste 4600, Oak Park, IL 60304 2012-06-25
1588954135 Rachana Parag Shah Physical Medicine & Rehabilitation 610 S. Maple #3420, Oak Park, IL 60304 2011-04-17
1972825818 Meghan Mcintyre Counselor 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 2010-02-19
1992953954 Beverly Harrison Dale Speech-Language Pathologist 520 S. Maple Ave, Roph, Oak Park, IL 60304 2008-09-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225665789 Tyler Luu Internal Medicine 420 Home Ave Apt 207n, Oak Park, IL 60302-3715 2020-03-25
1720551096 Pipeline - Lakefront Medical Associates, LLC Internal Medicine 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 2019-01-09
1699102632 I Priority Pt LLC Internal Medicine 21700 Greenfield Rd Ste 215, Oak Park, MI 48237-2532 2013-10-05
1104115468 Lisa Davidoff Internal Medicine 7005 North Ave, Oak Park, IL 60302-1001 2011-04-06
1215248984 Angela Aboutalib Internal Medicine 3 Erie Ct Ste L-700, Oak Park, IL 60302-2519 2010-06-28
1750617916 Venkata Sai Srikanth Moningi Internal Medicine 516 Harrison St, Apt Bc, Oak Park, IL 60304-1446 2009-10-22
1063651305 Anarkali Internists Sc Internal Medicine 1035 N Marion St, Oak Park, IL 60302-1374 2009-02-10
1952577819 Izuchukwu Nwafo Internal Medicine 1170 S East Ave, Oak Park, IL 60304-2143 2008-05-01
1053584227 Jyotsna Bhatt Internal Medicine 101 Madidon Street, Suite 204, Oak Park, IL 60302-4210 2008-04-09
1255502464 Emelita C. Co, M.d. S.c. Internal Medicine 610 S Maple Ave Ste 3300, Oak Park, IL 60304-2803 2008-03-14
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Competitor

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City OAK PARK
Zip Code 60304

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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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