| Shaji Mohammed Khan, DO | |
|
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
| (815) 334-5566 | |
| (815) 759-4008 |
| Full Name | Shaji Mohammed Khan |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 11 Years |
| Location | 4201 W Medical Center Dr, Mchenry, 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 |
|---|---|---|---|
| 1992124762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036146640 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | S1840 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Swedish American Hospital | Rockford, IL | Hospital |
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Imaging Consultants Llc | 2567784408 | 174 |
| Radiology Consultants Of Rockford Ltd | 3274596572 | 24 |
| Advanced Radiology Consultants Sc | 7113822784 | 3 |
| Entity Name | Advanced Radiology Consultants Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750380119 PECOS PAC ID: 7113822784 Enrollment ID: O20040109000165 |
| Entity Name | Radiology Consultants Of Rockford Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013985647 PECOS PAC ID: 3274596572 Enrollment ID: O20041108000916 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaji Mohammed Khan, DO 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 | Shaji Mohammed Khan, DO 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 |
Ernest A Conti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Ste B203, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Abhijit Patil, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
James T Link, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Milton W Hummel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Dr. Aaron Wittenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Balatripura Voruganti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Michael J. Flaherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |