Individual provider Active NPI

Faraz Khan, DO

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1174013668
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036158819 Issued in IL
Practice address
6301 N Western Ave
Chicago, IL 60659-2009
Phone
(773) 761-0300
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036158819 IL Primary

Addresses

Primary practice location

6301 N Western Ave
Chicago, IL 60659-2009

Mailing address

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

Other practice location 1

8321 W Golf Rd
Niles, IL 60714-1113
Phone (773) 761-0300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829001190 IL Practitioner - Family Practice 0345505517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Human Services Family Health Center, Inc.Group PAC ID 4385637537, 16 clinicians

Practice addresses (Care Compare)

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

8321 W Golf Rd
Niles, IL 60714-1113
Phone (773) 761-0300

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023806MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Human Services Family Health Center, Inc. Single Specialty CurrentSince Aug 15, 2023 Accepting new patients
Asian Human Services Family Health Center CurrentSince Aug 15, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients

Locations

6301 N Western Ave
Chicago, IL 60659
Phone (773) 761-0300

2501 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300

8321 W Golf Rd
Niles, IL 60714
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077
Phone (773) 761-0300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: faraz.khan.1@18313.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1174013668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009",
            "telephone_number": "773-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009",
            "telephone_number": "773-761-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8321 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607141113",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAZ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036158819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.