Individual
MOHAMMAD HASSAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
430 PENNSYLVANIA AVE STE 150, GLEN ELLYN, IL 60137-4464
(888) 693-6437
(630) 432-6667
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-027530
IL
363LF0000X
Family Nurse Practitioner
0024186831
VA
363LF0000X
Family Nurse Practitioner
1072803
TX
363LF0000X
Family Nurse Practitioner
ARNP9347075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010233100
—
FL
Enumeration date
11/20/2013
Last updated
02/03/2025
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