Search › Illinois › 207RG0100X
Khondker Islam, MD
NPI 1568441855 · on the registry since 2006
Practice
- Address
- 1730 E Lake Shore Dr
Decatur, IL 62521 - Phone
- (217) 329-1000
- Clinicians at this address
- 13
Additional practice sites
- 1001 Main St Ste 500a, Peoria, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
207RG0100X - Licence states on file
- MS, IL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois