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

Ehtasham Gul Khattak, MD

Individual provider Internal Medicine Physician · NPI 1780948554

Ehtasham Gul Khattak, MD is an Internal Medicine in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 W Medical Center Dr, McHenry, IL 60050-8409 — (815) 759-4323

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.138278 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.061207 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 036138278 (IL)

Record details

NPI number1780948554
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing address180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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