FAUZIA G KHATTAK (NPI# 1265625354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265625354 |
Entity Type | Individual |
Full Name | FAUZIA G KHATTAK |
Credential | MD |
Practice Address |
3535 N Bell School Rd Rockford IL 61114 |
Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
Practice Telephone | 7796969400 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2019-10-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036119236 | IL | Allopathic & Osteopathic Physicians |
Street Address |
3535 N BELL SCHOOL RD |
City | ROCKFORD |
State | IL |
Zip Code | 61114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
1841756293 | Carly Louise Vormezeele | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2019-02-11 |
1013385368 | Jon Suyko | Pharmacist | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2015-09-03 |
1396152484 | Angela Tess | Genetic Counselor, MS | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2014-07-21 |
1730511379 | Swedishamerican Hospital | Radiology | 3535 N Bell School Rd, Rockford, IL 61114 | 2013-08-06 |
1922394402 | Benjamin Y Durkee | Radiology | 3535 N Bell School Rd, Rockford, IL 61114 | 2011-06-23 |
1386937167 | Alaeddin Ali Maeza | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2011-05-26 |
1821109448 | Nameer Mardini | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-08-31 |
1558382069 | William Schulz | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
1689695108 | Harvey Einhorn | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861710857 | Swedishamerican Hospital | Internal Medicine | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2010-05-14 |
1508942202 | Hosne Ara Begum | Internal Medicine | 2400 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2006-10-27 |
1821109448 | Nameer Mardini | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-08-31 |
1558382069 | William Schulz | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
1689695108 | Harvey Einhorn | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
1427079938 | Sharon Shipp | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
1992740963 | Merat Karbasian-esfahani | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-06-16 |
1700837218 | Majed Abuhajir | Internal Medicine | 5666 E State St, Rockford, IL 61108-2472 | 2006-05-12 |
1437140258 | William Robert Edwards | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.