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

Sidrah Khan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467179085

Sidrah Khan is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Licensed in Georgia and Illinois. Registered with an NPI since 2022.

Licensed in
GA, IL
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2160 S 1st Ave Bldg 105
Maywood, IL 60153-3328
Phone: (708) 327-2561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.082908 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 111263 (GA)

Record details

NPI number1467179085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328

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