| Dr Huma Ali Khan, MD | |
|
9730 S Western Ave Ste 500, Evergreen Park, IL 60805-2780 | |
| (708) 425-7337 | |
| Not Available |
| Full Name | Dr Huma Ali Khan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 9730 S Western Ave Ste 500, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467614750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036127878 (Illinois) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 036127878 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Huma Ali Khan, MD 9730 S Western Ave Ste 500, Evergreen Park, IL 60805-2780 Ph: (708) 425-7337 | Dr Huma Ali Khan, MD 9730 S Western Ave Ste 500, Evergreen Park, IL 60805-2780 Ph: (708) 425-7337 |
Ms. Katherine M Riff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 Phone: 708-424-7600 Fax: 708-424-7605 | |
Dr. Kunhunni Vellody, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th Street, Suite 203, Evergreen Park, IL 60805 Phone: 708-229-2764 Fax: 708-229-2766 | |
Calliope C Andricacou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, #404, Evergreen Park, IL 60805 Phone: 708-423-4000 Fax: 708-423-4097 | |
Dr. Ahmad Chatila, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St Ste 400, Evergreen Park, IL 60805 Phone: 708-424-7600 | |
Dr. Josefina Batista, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2850 W 95th St Ste 400, Evergreen Park, IL 60805 Phone: 708-424-7600 Fax: 708-424-7605 | |
Andrea Tekie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 500, Evergreen Park, IL 60805 Phone: 708-425-7337 Fax: 708-636-3485 |