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NPI Code Detail

MEDICARE: MS. MADIHA KHAN DNP, APRN, FNP-BC,

MEDICARE: MS. MADIHA KHAN DNP, APRN, FNP-BC,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209017257IL
2363LA2200XAdult Health Nurse Practitioner209017257IL

General Provider Information

NPI Number : 1942717418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MADIHA KHAN DNP, APRN, FNP-BC,
Provider Business Mailing Address
First Line : 701 W NORTH AVE
Second Line :
City : MELROSE PARK
State : IL
Zip : 60160-1612
Country : US
Telephone Number : 708-681-3200
Fax Number :
Provider Business Practice Location Address
First Line : 2233 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-8151
Country : US
Telephone Number : 224-678-8760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 05/21/2026

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