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Contact Information

FAREESA G KHAN, MD
1725 W HARRISON ST STE 1129
CHICAGO, IL60612-3841
 Phone: 312-942-6613
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FAREESA G KHAN · (Female)

NPI # 1790702322
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 02/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-104448
  • IL License # 036104448
  • MO License # 112917
  • MO Medicaid 203820014
Hospital affiliation(s)
  • ALEXIAN BROTHERS MEDICAL CENTER - (Acute Care)
    800 W BIESTERFIELD RD
    ELK GROVE VILLAGE, IL 60007
  • RUSH OAK PARK HOSPITAL - (Acute Care)
    520 S MAPLE AVE
    OAK PARK, IL 60304
  • RUSH UNIVERSITY MEDICAL CENTER - (Acute Care)
    1653 WEST CONGRESS PARKWAY
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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