DR. RAZA M KHAN (NPI# 1568455327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568455327 |
| Entity Type | Individual |
| Full Name | DR. RAZA M KHAN |
| Credential | M.D |
| Practice Address |
3 S Greenleaf St Suite J Gurnee IL 60031-3377 |
| Practice Telephone | 8475991111 |
| Practice Fax Number | 8475991148 |
| Mailing Telephone | 8475991111 |
| Mailing Fax Number | 8475991148 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036045549 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036045549 | 05 | |
| BCBS | 1635877 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154072 | Raza Khan | Student in an Organized Health Care Education/Training Program | 216 Nw 151st Pl, Edmond, OK 73013-1163 | 2020-05-03 |
| 1407067929 | Raza Ali Khan | Anesthesiology | 1000 Blythe Blvd, Department of Anesthesiology and Pain Management, Charlotte, NC 28203-5812 | 2007-05-25 |
| 1356473615 | Raza Latif Khan | Psychiatry & Neurology | 2101 Pease St, 1g, Harlingen, TX 78550-8307 | 2007-03-12 |
| 1669584249 | Raza Ali Khan | Internal Medicine | 550 Osborne Rd Ne, Unity Hospital, Fridley, MN 55432-2718 | 2006-08-31 |
| 1588623755 | Raza Anwar Khan | Internal Medicine | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-03-17 |
| Street Address |
3 S GREENLEAF ST SUITE J |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271123 | Nejd F Alsikafi | Urology | 3 S Greenleaf St, Suite J, Gurnee, IL 60031-3377 | 2005-08-09 |
| 1366084477 | Christine Wilson | Registered Nurse | 3 S Greenleaf St, Gurnee, IL 60031-3377 | 2019-10-09 |
| 1548820137 | Women's Healthcare Group of Illinois Sc | Clinic/Center | 3 S Greenleaf St, Gurnee, IL 60031-3377 | 2019-06-17 |
| 1013390491 | Julia Firlit Buesser | Nurse Practitioner | 3 S Greenleaf St, Ste J, Gurnee, IL 60031-3377 | 2015-07-03 |
| 1083877690 | Charisse Hudson-quigley | Obstetrics & Gynecology | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 2008-07-03 |
| 1679792394 | Sutchin Patel | Urology | 3 S Greenleaf St, Ste. J, Gurnee, IL 60031-3377 | 2007-04-24 |
| 1518027812 | Uropartners LLC | Urology | 3 S Greenleaf St, Ste J, Gurnee, IL 60031-3377 | 2006-12-10 |
| 1497813018 | Associates for Womens Health, S.c. | Obstetrics & Gynecology | 3 S Greenleaf St, Sutie A, Gurnee, IL 60031-3377 | 2006-12-05 |
| 1508958836 | June M Homan | Nurse Practitioner | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 2006-09-28 |
| 1295827319 | Gabrielle M Mudrak | Registered Nurse | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 2006-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271123 | Nejd F Alsikafi | Urology | 3 S Greenleaf St, Suite J, Gurnee, IL 60031-3377 | 2005-08-09 |
| 1538347406 | Uropartners LLC | Urology | 6440 Grand Ave, Suite 206, Gurnee, IL 60031-5257 | 2008-02-03 |
| 1679792394 | Sutchin Patel | Urology | 3 S Greenleaf St, Ste. J, Gurnee, IL 60031-3377 | 2007-04-24 |
| 1104946425 | Urology Associates, Ltd | Urology | 1 S Greenleaf St, Suite E, Gurnee, IL 60031-3370 | 2007-03-30 |
| 1528113834 | Harsh Kumar | Urology | 1 S Greenleaf St, # E, Gurnee, IL 60031-3370 | 2007-01-24 |
| 1518027812 | Uropartners LLC | Urology | 3 S Greenleaf St, Ste J, Gurnee, IL 60031-3377 | 2006-12-10 |
| 1912923269 | Bruce Allen Brown | Urology | 6440 Grand Ave, Suite 206, Gurnee, IL 60031-5257 | 2006-07-13 |
| 1366435034 | Robert S Saffrin | Urology | 3 S Greenleaf St, Suite J, Gurnee, IL 60031-3377 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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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.