Provider Demographics
NPI:1598537680
Name:KHAN, ZAREEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ZAREEN
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 N LARCH DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1643
Mailing Address - Country:US
Mailing Address - Phone:630-901-6974
Mailing Address - Fax:
Practice Address - Street 1:7900 N MILWAUKEE AVE STE 18
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3165
Practice Address - Country:US
Practice Address - Phone:847-663-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209029095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily