Active NPI
Nida Khan, MSN, APRN, FNP-C
- Nurse Practitioner
- Morton Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.022894
- Practice address
- 6841 Dempster St
Morton Grove, IL 60053-2628 - Phone
- (224) 200-9000
- NPI assigned
- Aug 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.461582 | IL | |
| Nurse Practitioner | 363L00000X | 209.022894 | IL | Primary |
Addresses
Primary practice location
6841 Dempster St
Morton Grove, IL 60053-2628
Mailing address
5645 W Addison St
Chicago, IL 60634-2881
Phone (224) 200-9000
Other practice location 1
5645 W Addison St
Chicago, IL 60634-2881
Phone (773) 794-7601
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Lake St
Suite LL60
Oak Park, IL 60301-1099
Phone (708) 434-4090
6841 Dempster St
Morton Grove, IL 60053-2628
Phone (224) 233-0299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.461582 | IL | MD | Registered Nurse |
| 209.022894 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Chicago Urgent Care SC | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Dupage Psychiatric Care PLLC | Current | Accepting new patients | |
| Rangsons Healthcare, PLLC | Current | Accepting new patients | |
| Northwest Morton Grove SC | Current | Accepting new patients |
Locations
1 E Erie St
Ste 225
Chicago, IL 60611
Phone (312) 216-1211
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
500 Coventry Ln
Ste 290
Crystal Lake, IL 60014
Phone (708) 434-4080
120 E Ogden Ave
Ste 101
Hinsdale, IL 60521
Phone (630) 366-7330
6841 Dempster St
Morton Grove, IL 60053
Phone (224) 200-9000
2021 Midwest Rd
Ste 108
Oak Brook, IL 60523
Phone (630) 366-7330
1100 Lake St
Ste LL60
Oak Park, IL 60301
Phone (708) 434-4080
4711 Golf Rd
Ste 535
Skokie, IL 60076
Phone (630) 366-7330
1737 S Naperville Rd
Ste 203
Wheaton, IL 60189
Phone (630) 344-5150
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.
-
- Psychiatry Physician
- Oak Park, IL
- NPI 1801465695
-
- General Practice Physician
- Morton Grove, IL
- NPI 1508533266
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Behavioral Neurology & Neuropsychiatry Physician
- Hinsdale, IL
- NPI 1144716457
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- Primary Care Clinic/Center
- Morton Grove, IL
- NPI 1023723087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1457029977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342881",
"telephone_number": "224-200-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 DEMPSTER ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532628",
"telephone_number": "224-200-9000"
}
],
"practiceLocations": [
{
"address_1": "5645 W Addison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606342881",
"country_code": "US",
"telephone_number": "773-794-7601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "NIDA",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2023-01-27",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.461582",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.022894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.