Individual
KHANH H TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2868 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 569-3525
Mailing address
2868 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 569-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209.023086
IL
363LF0000X
Family Nurse Practitioner
Primary
209023086
IL
Other
Enumeration date
05/11/2021
Last updated
05/01/2026
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