Individual ProviderSaleha KhanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address9465 Est Fallingwater Drive, Burr Ridge, IL 60521(630) 914-5373PECOS EnrollmentBased on the most recent information from CMS, provider Saleha Khan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831100569Provider TypeIndividualFull NameKhan, SalehaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date8/10/2006Last Updated2/12/2014Contact InformationPractice LocationPractice Address9465 Est Fallingwater Drive, Burr Ridge, IL 60521Phone(630) 914-5373Fax(630) 410-8528Mailing LocationMailing Address9465 Falling Waters Dr W, Burr Ridge, IL 60527-6897Phone(630) 914-5373Fax(630) 410-8528Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036084178IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036084178IllinoisProvider IdentifiersIDDescriptionIssuerID036-084178DescriptionOtherIssuerSTATE LICENSEIllinois