Khan, Mohammad Ajmal

Khan, Mohammad Ajmal is an sole proprietor health care provider with primary practice located at 610 S Maple Ave Suite 3440, Oak Park IL 60304-1091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad Ajmal can be contacted via phone (708) 660-5017.

Contact Information

Primary practice address
610 S Maple Ave Suite 3440 Oak Park IL 60304-1091
Phone: (708) 660-5017
Fax: (708) 660-5349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036094223 Illinois

Profile Details

NPI number 1487653838
LBN Legal business name Khan, Mohammad Ajmal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Jul 15th, 2010 - about 14 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 1487653838 NPPES
Illinois MEDICAID 036094223

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