Provider Demographics
NPI:1801644810
Name:KHOSA, PRIYA KAUR (PA-C)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:KAUR
Last Name:KHOSA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE # 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-3175
Mailing Address - Fax:847-982-3394
Practice Address - Street 1:2100 PFINGSTEN RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1301
Practice Address - Country:US
Practice Address - Phone:847-657-5800
Practice Address - Fax:847-570-2930
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2025-09-25
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Provider Licenses
StateLicense IDTaxonomies
IL085011408363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical