Ahmed Khan, Mohammed Ilyas

Ahmed Khan, Mohammed Ilyas is an individual health care provider with primary practice located at 2400 N Rockton Ave Palliative Care, Rockford IL 61103-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Ahmed Khan, Mohammed Ilyas can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Palliative Care Rockford IL 61103-3655
Phone: (815) 971-5000
Fax: (815) 968-9677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 35.093467 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036135854 Illinois

Profile Details

NPI number 1417198011
LBN Legal business name Ahmed Khan, Mohammed Ilyas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2009
Last updated Oct 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417198011 NPPES
Ohio MEDICAID 3058131

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