Basic Information
| Provider Information | |||||||||
| NPI: | 1417931874 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHAN | ||||||||
| FirstName: | ARIF | ||||||||
| MiddleName: | ALI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 777 PARK AVE. WEST | ||||||||
| Address2: | IM HOSPITALISTS | ||||||||
| City: | HIGHLAND PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600352433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479265840 | ||||||||
| FaxNumber: | 8479265835 | ||||||||
| Practice Location | |||||||||
| Address1: | 777 PARK AVE. WEST | ||||||||
| Address2: | IM HOSPITALISTS | ||||||||
| City: | HIGHLAND PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479265840 | ||||||||
| FaxNumber: | 8479265835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 10/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036116162 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 036116162 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.