Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Medical Center of Minooka, SC

Organization Family Medicine Physician · NPI 1639354780

Liberty Medical Center of Minooka, SC is a Family Medicine Physician in Minooka, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

603 W Mondamin St
Minooka, IL 60447-9057
Phone: (815) 521-1010
Fax: (815) 521-1826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1639354780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aftab Khan — Physician · (815) 521-1010
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJanuary 8, 2008
Mailing address603 W Mondamin St, Minooka, IL 60447-9057

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