SHAZIA PARVIN KHATOON


Address: 1401 E State St, Rockford, IL 61104-2315
Phone: 8159675476

SHAZIA PARVIN KHATOON (NPI# 1942518899) 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) 1942518899
Entity Type Individual
Full Name SHAZIA PARVIN KHATOON
Credential M.D.
Practice Address 1401 E State St
Rockford
IL 61104-2315
Mailing Address 1625 W North Ave
202
Chicago
IL 60622-7547
Practice Telephone 8159675476
Mailing Telephone 3128607249
Enumeration Date 2010-09-14
Last Update Date 2015-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036.131544 IL Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 125055673 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036131544-2 05

Office Location

Street Address 1401 E STATE ST
City ROCKFORD
State IL
Zip Code 61104-2315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003899196 Thomas Danko Pediatrics 1401 E State St, Rockford, IL 61104-2315 2005-11-22
1184232621 Sound Physicians Emergency Medicine of Illinois LLC Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-07-21
1235764556 Alexandra Paganis Nurse Practitioner 1401 E State St, Rockford, IL 61104-2315 2020-03-06
1538790266 Sherri L Paprocki Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-01-31
1417593310 Jason C Hipe Registered Nurse 1401 E State St, Rockford, IL 61104-2315 2019-11-26
1487298642 Matthew Montgomery Physical Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-31
1265076541 Sarah Kemp Occupational Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-30
1891341939 Swedishamerican Hospital Pharmacy 1401 E State St, Rockford, IL 61104-2315 2019-08-14
1306408885 Jonathan Ray Nelson Physical Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
1124680608 Kirsten Sympson Occupational Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
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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
1962002832 Coleman Clinic, Inc. Internal Medicine 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 2020-10-29
1073167664 Swedishamerican Hospital Internal Medicine 3505 N Bell School Road, Rockford, IL 61114 2019-07-31
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871838656 Takuo Sonoda Internal Medicine 729 Self Hollow Rd, Rockford, TN 37853-3413 2012-12-04
1912216284 Irene Boswell Md PC Internal Medicine 7445 Newburg Rd, Suite 103, Rockford, IL 61108-4443 2010-10-04
1326271743 Syed Muhammad Murtaza Zam Rizvi Internal Medicine 1340 Charles St Ste 405, Rockford, IL 61104-2200 2009-09-02
1679714216 John Martin Roska Internal Medicine 1711 Shaw Woods Dr., Rockford, IL 61107-1725 2009-03-11
1457515280 Carl Gerald Sundahl Internal Medicine 4519 Old Knoxville Hwy, Rockford, TN 37853-3023 2008-07-10
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1629176060 Christine Judith Simaytis Internal Medicine 4940 E State St Ste 3, Rockford, IL 61108-2271 2006-09-20
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61104

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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