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

Khadija Motan

Individual provider Physician Assistant · NPI 1003537739

Khadija Motan is a Physician Assistant in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

2320 E 93rd St
Chicago, IL 60617-3909
Phone: (773) 967-5430
Fax: (773) 967-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4125 N Keystone Ave Apt 304, Chicago, IL 60641-2494 — (630) 656-0808

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-010102 (IL)

Record details

NPI number1003537739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2022
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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