IndividualActive
Adiba Khan
NPI 1053842039 · Family Medicine Physician · Grayslake, IL
Provider details
- NPI number
- 1053842039
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 036151630 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1475 E Belvidere Rd
Suite 385
Grayslake, IL 60030-2012
Phone: (847) 535-7157
Fax: (312) 694-0655
Approximate (ZIP-level) locationGet directions
Mailing address
1475 E Belvidere Rd
Grayslake, IL 60030-2012
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.