IndividualActive
Fareesa Khan, M.D.
NPI 1790702322 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Chicago, IL
Provider details
- NPI number
- 1790702322
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 112917 (MO)
Practice location
1725 W Harrison St Ste 1129
Chicago, IL 60612-3841
Phone: (312) 942-6613
Mailing address
1653 W Congress Pkwy # 230a
Chicago, IL 60612-3833
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2022-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.