Hasan M Khan
LAGRANGE MEDICAL HEALTHCARE LTD


Address: 6170 Joliet Rd, Countryside, IL 60525-3976
Phone: 7083520330

Hasan M Khan (NPI# 1689786410, PAC ID# 8123013307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1689786410
PAC ID by PECOS 8123013307
Professional Enrollment ID I20100812000279
Full Name Hasan M Khan
Organization Legal Name LAGRANGE MEDICAL HEALTHCARE LTD
Address 6170 Joliet Rd
Countryside
IL 60525-3976
Phone Number 7083520330
Gender M
Medical School CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 2062407240
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140242 CENTRAL DUPAGE HOSPITAL
140065 ADVENTIST LA GRANGE MEMORIAL HOSPITAL
140122 HINSDALE HOSPITAL

Other Locations

Address Phone Organization
6170 Joliet Rd, Countryside, IL 60525-3976 7083520330 LAGRANGE MEDICAL HEALTHCARE LTD

Organization Information

Organization Legal Name LAGRANGE MEDICAL HEALTHCARE LTD
Physicians 1

Office Location

Street Address 6170 JOLIET RD
City COUNTRYSIDE
State IL
Zip 60525-3976

Physicians in the same location

Name Specialty Organization Address
Queenester B Gray Nurse Practitioner R and W Medical LLC 6170 Joliet Rd, Suite 100, Countryside, IL 60525-3976

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Mark J Sedory Podiatry 132 N Catherine Ave, La Grange, IL 60525-1828
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Sasha M Demos Anesthesiology Dupage Valley Anesthesiologists, Ltd. 120 N La Grange Rd, La Grange, IL 60525-2040
John M Bockrath Urology United Shockwave Services Ltd 120 N La Grange Rd, La Grange, IL 60525-2040
Davis P Yang Family Medicine Gottlieb Community Health Services Corporation 125 N La Grange Rd, La Grange, IL 60525-2041
Eliza J Pierko Internal Medicine Gottlieb Community Health Services Corporation 125 N La Grange Rd, La Grange, IL 60525-2041
Kristin L Ross Registered Dietitian Or Nutrition Professional Vhs of Illinois Inc 125 N La Grange Rd, La Grange, IL 60525-2041
Carolyn Gordon Registered Dietitian Or Nutrition Professional Vhs of Illinois Inc 125 N La Grange Rd, La Grange, IL 60525-2041
Kathryn E Wirth Physical Therapy Athletic and Therapeutic Institute of Naperville LLC 1 N La Grange Rd Unit, Ati Physical Therapy, Lagrange, IL 60525-2047
Erin Scheiber Physical Therapy Athletic and Therapeutic Institute of Naperville LLC 1 N La Grange Rd Unit, Ati Physical Therapy, Lagrange, IL 60525-2047
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Competitor

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City COUNTRYSIDE
Zip Code 60525
Specialty INTERNAL MEDICINE
City + Specialty COUNTRYSIDE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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