Wali Sajjad Khan, APN-CRNA | |
8103 Route 53 Apt 2, Woodridge, IL 60517-3644 | |
(630) 210-1740 | |
Not Available |
Full Name | Wali Sajjad Khan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8103 Route 53 Apt 2, Woodridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891465225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041428235 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.027773 (Illinois) | Primary |
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 |
Entity Name | Gottlieb Community Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Entity Name | Encore Anesthesia Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850 |
Entity Name | Ias Illinois Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
Mailing Address | Practice Location Address |
---|---|
Wali Sajjad Khan, APN-CRNA 8103 Route 53 Apt 2, Woodridge, IL 60517-3644 Ph: (630) 210-1740 | Wali Sajjad Khan, APN-CRNA 8103 Route 53 Apt 2, Woodridge, IL 60517-3644 Ph: (630) 210-1740 |