Khan, Asra F

Khan, Asra F is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khan, Asra F can be contacted via phone (815) 217-3252.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 217-3252
Fax: (815) 639-8451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-108050 Illinois

Profile Details

NPI number 1023018322
LBN Legal business name Khan, Asra F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 12th, 2017 - about 7 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 1023018322 NPPES
Illinois Other 834340 MEDICARE GROUP #
Illinois Other IL6310 MEDICARE GROUP #
Illinois Other F400282877 MEDICARE GROUP #
Illinois Other 036108050 MEDICARE GROUP #
Illinois Other P00731185 MEDICARE GROUP #
Illinois Other 553180 MEDICARE GROUP #

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