| Dr Mohammad Kamran Khan, DO | |
|
1890 Silver Cross Blvd, New Lenox, IL 60451 | |
| (815) 723-4387 | |
| (815) 723-4634 |
| Full Name | Dr Mohammad Kamran Khan |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 22 Years |
| Location | 1890 Silver Cross Blvd, New Lenox, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982912655 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE (GROUP) |
| 036121940 | Medicaid | IL | |
| 206147203 | Other | IL | MEDICARE (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 20A11564 (California) | Secondary |
| 207T00000X | Neurological Surgery | 036121940 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward Hospital | Naperville, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad Kamran Khan, DO 1890 Silver Cross Blvd, New Lenox, IL 60451-9518 Ph: (815) 723-4387 | Dr Mohammad Kamran Khan, DO 1890 Silver Cross Blvd, New Lenox, IL 60451 Ph: (815) 723-4387 |
Dr. Thomas Richard Hurley, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1890 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-723-4387 Fax: 815-723-4634 |