Individual provider Active NPI

Nida Khan, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Morton Grove, IL
National Provider Identifier
1457029977
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.022894 Issued in IL
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

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101000748 IL Practitioner - Nurse Practitioner 3072911247 Reassigns benefits to 4 organizations

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
Dupage Psychiatric Care PLLCGroup PAC ID 2062806490, 8 clinicians
Northwest Chicago Urgent Care SCGroup PAC ID 0042699464, 8 clinicians

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

LicenseStateTypeSpecialty
041.461582ILMDRegistered Nurse
209.022894ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Chicago Urgent Care SC CurrentSince Jan 3, 2024 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Dupage Psychiatric Care PLLC CurrentSince Nov 17, 2023 Accepting new patients
Rangsons Healthcare, PLLC CurrentSince Nov 17, 2023 Accepting new patients
Northwest Morton Grove SC CurrentSince Jan 29, 2023 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.

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

Verify at the official NPI Registry.