Active NPI
Zehra S Kanji-Ghaziani
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1295366862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.020560
- Practice address
- 4177 S Archer Ave # 60632
Chicago, IL 60632-1849 - Phone
- (773) 254-2222
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.020560 | IL | Primary |
Addresses
Primary practice location
4177 S Archer Ave # 60632
Chicago, IL 60632-1849
Mailing address
4177 S Archer Ave
Chicago, IL 60632-1849
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020560 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Saint Anthony Hospital | Current | Accepting new patients | |
| Access Community Health Network | Past | Accepting new patients |
Locations
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
1555 W Howard St
Chicago, IL 60626
Phone (773) 764-7146
4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222
Interoperability endpoints
- zkanjighaziani21847@direct.achn.net
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1881086064
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1598844268
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912397480
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1043398217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1295366862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4177 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606321849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4177 S ARCHER AVE # 60632",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606321849",
"telephone_number": "773-254-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANJI-GHAZIANI",
"first_name": "ZEHRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.020560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.