Sana H Khadri, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.181492 Issued in IL

Practice address

202 N Schuyler Ave Ste 205
Kankakee, IL 60901-3601

Phone

(815) 348-4508

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1881277911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 LENOX AVE",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904981",
            "telephone_number": "630-818-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N SCHUYLER AVE STE 205",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013601",
            "telephone_number": "815-348-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADRI",
        "first_name": "SANA",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.181492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Jonathan Kay, D.D.S.
• Keith M. Monson, M.D., SC
• Debbie Kelly, PTA
• James M Kelly, M.D.
• Regan Lane Kendregan, PA
• Muhammad Affan Khalid
• Samrat Umesh Khanna, MD
• Kidney Specialists of Kankakee LTD
• Dong Ouk Kim, M.D.
• Debbie A Kimberlin, RD

• Psychiatry Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.

Verify at the official NPI Registry.