| Mirza Ali U Khan, DO | |
|
1954 Gateway Center Dr, Belvidere, IL 61008-9303 | |
| (815) 544-7400 | |
| Not Available |
| Full Name | Mirza Ali U Khan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1954 Gateway Center Dr, Belvidere, 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 |
|---|---|---|---|
| 1538697248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.152072 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mirza Ali U Khan, DO 1423 Ashwood Dr, Elgin, IL 60123-8885 Ph: (847) 528-3366 | Mirza Ali U Khan, DO 1954 Gateway Center Dr, Belvidere, IL 61008-9303 Ph: (815) 544-7400 |
Stephanie Ann Gorham Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 | |
Dr. Clayton R. Malaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 Fax: 815-544-3700 | |
Karen Joyce Englund, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-3780 Fax: 815-547-3781 | |
Neal Kellenberger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 Fax: 815-544-4691 | |
Shin Chen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 Logan Ave, Belvidere, IL 61008 Phone: 815-547-1110 Fax: 815-544-1594 | |
Dr. David G Pocock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2170 Pearl St, Belvidere, IL 61008 Phone: 815-547-5461 | |
Mary Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 |