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Nazish Khan

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1653 W Congress Pkwy, Chicago, IL 60612-3833

PECOS Enrollment

Based on the most recent information from CMS, provider Nazish Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1407606346
Provider Type
Individual
Full Name
Khan, Nazish
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/25/2024
Last Updated
3/25/2024

Contact Information

Practice Location

1653 W Congress Pkwy, Chicago, IL 60612-3833

(312) 947-0100

Unlisted Fax

Mailing Location

6961 Meadowbrook Ln, Hanover Park, IL 60133-6418

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.010315 Illinois

Nazish Khan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Argueta, Alejandra

Johnson, Hannah Grace

Latif, Rohiya Hakimi

Loehr, Nicole Catherine

Schock, Lindsey

Lumpkin, Ada

Villafranca-Escobar, Bessy Sarahi

Zaparaniuk, Natalia Maria

Gronski, Ellery

Freeman, Bethann