| Humera Khan, MD | |
|
800 Austin St Ste 505, Evanston, IL 60202-3439 | |
| (847) 733-1495 | |
| (847) 733-1994 |
| Full Name | Humera Khan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 800 Austin St Ste 505, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821280256 | NPI | - | NPPES |
| 036-111382 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-111382 (Illinois) | Primary |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| 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 |
|---|---|
| Humera Khan, MD 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 Ph: (630) 914-2898 | Humera Khan, MD 800 Austin St Ste 505, Evanston, IL 60202-3439 Ph: (847) 733-1495 |
Isra Hasnain, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-666-3494 | |
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 633 Emerson St, Evanston, IL 60208 Phone: 847-491-8100 Fax: 847-491-5919 | |
Stephanie Janae Van Buren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 847-666-3494 | |
Dr. Elizabeth Feldman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 312-666-3494 | |
Eric O Fernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Davis St, Evanston, IL 60201 Phone: 847-982-6710 | |
Ann Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108 | |
Angelika Joanna Kwak, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 773-834-9852 |