Provider Demographics
NPI:1548052434
Name:KHATOON, FARHEEN (DDS)
Entity type:Individual
Prefix:DR
First Name:FARHEEN
Middle Name:
Last Name:KHATOON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3853 DOBSON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3716
Mailing Address - Country:US
Mailing Address - Phone:847-565-9545
Mailing Address - Fax:
Practice Address - Street 1:3726 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-1900
Practice Address - Country:US
Practice Address - Phone:262-652-7956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program