Individual provider Active NPI

Noreen Mansoor Khan, APRN

  • Family Nurse Practitioner
  • Lincolnwood, IL
National Provider Identifier
1124740972
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025934 Issued in IL
Practice address
6700 N Monticello Ave
Lincolnwood, IL 60712-3716
Phone
(773) 317-4661
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025934 IL Primary

Addresses

Primary practice location

6700 N Monticello Ave
Lincolnwood, IL 60712-3716

Mailing address

6700 N Monticello Ave
Lincolnwood, IL 60712-3716
Phone (773) 317-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115002141 IL Practitioner - Nurse Practitioner 8325524788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1624 Vincent CT
Naperville, IL 60564-6152

1901 N Roselle Rd
Suite 837
Schaumburg, IL 60195-3176

1901 N Roselle Rd
Suite 837
Schaumburg, IL 60195-3191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209025934ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Family Clinic SC CurrentSince Dec 2, 2025 Accepting new patients

Locations

1879 Bay Scott Cir
Ste 111
Naperville, IL 60540
Phone (630) 961-1341

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1124740972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N MONTICELLO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123716",
            "telephone_number": "773-317-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N MONTICELLO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123716",
            "telephone_number": "773-317-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NOREEN",
        "middle_name": "MANSOOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.