Khan, Fareesa G
Khan, Fareesa G is an sole proprietor health care provider with primary practice located at 1725 W Harrison St Ste 1129 , Chicago IL 60612-3841. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Khan, Fareesa G can be contacted via phone (312) 942-6613.Contact Information
Primary practice address
1725 W Harrison St Ste 1129
Chicago IL 60612-3841
Phone: (312) 942-6613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 112917 | Missouri |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 036104448 | Illinois |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | 036-104448 | Illinois |
Profile Details
| NPI number | 1790702322 |
|---|---|
| LBN Legal business name | Khan, Fareesa G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790702322 | NPPES |
| Missouri | MEDICAID | 203820014 |
Popular Providers
-
Abbasy, Shameem
5140 N California Ave Ste 635 , Chicago IL 60625-7066 -
Comiter, Craig Vance
300 Pasteur Dr , Stanford CA 94305-2200 -
Jaffee, Daniel Clement
5133 N Central Ave Ste 206 , Phoenix AZ 85012-1438 -
Leng, Wendy Wunching
7250 Hawkins View Dr Ste 411 , Fort Worth TX 76132 -
Clemons, Jeffrey L.
1901 S Union Ave B2006, Tacoma WA 98405-1702 -
Greer, Joy A.
620 John Paul Jones Cir Division Of Urogynecology, Women'S Health Department, Portsmouth VA 23708-2197 -
Brubaker, Linda
2160 S 1St Ave (Russo Ent., Rm. 1016), Maywood IL 60153 -
Jacobs, Kristin Michelle
1725 W Harrison St Ste 1138 , Chicago IL 60612