| B M Khan DO PC | |
|
13011 S 104th Ave Ste 203 Palos Park IL 60464-1512 | |
| (703) 964-8199 | |
| (703) 649-6188 |
| Full Name | B M Khan DO PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13011 S 104th Ave Ste 203, Palos Park, Illinois |
| Authorized Official Name and Position | Baasma Khan (PRESIDENT) |
| Authorized Official Contact | 7039648199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B M Khan DO PC 13011 S 104th Ave Ste 203 Palos Park IL 60464-1512 Ph: (703) 964-8199 | B M Khan DO PC 13011 S 104th Ave Ste 203 Palos Park IL 60464-1512 Ph: (703) 964-8199 |
| NPI Number | 1003741521 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003741521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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