Khan, Wajid A
Khan, Wajid A is an individual health care provider with primary practice located at 200 N Hammes Ave Suite 3, Joliet IL 60435-6677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Khan, Wajid A can be contacted via phone (815) 744-8253.Contact Information
Primary practice address
200 N Hammes Ave Suite 3
Joliet IL 60435-6677
Phone: (815) 744-8253
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036115038 | Illinois |
Profile Details
NPI number | 1629162359 |
---|---|
LBN Legal business name | Khan, Wajid A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Oct 15th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629162359 | NPPES |
Illinois | MEDICAID | 036115038 | |
Illinois | Other | 0991516762 |
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