Individual
MS. MADIHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(224) 678-8760
Mailing address
810 N MAPLE ST, PROSPECT HEIGHTS, IL 60070-1106
(224) 678-8760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209017257
IL
363LF0000X
Family Nurse Practitioner
Primary
209017257
IL
Other
Enumeration date
01/05/2018
Last updated
08/14/2023
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