Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ji NA Khananisho, FNP

Individual provider Family Nurse Practitioner · NPI 1437812203

Ji NA Khananisho, FNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Vivek Gupta, MD, SC, a 28-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2720 W Division St
Chicago, IL 60622-2853
Phone: (773) 772-7858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 041464552 (IL)

Record details

NPI number1437812203
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vivek Gupta, M.D., S.C. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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