Individual provider · Type 1 NPI

Nicole Khoshaba, OD

Student in an Organized Health Care Education/Training Program · Northbrook, IL

NPI number 1336068675 Active

Practice location

2230 Northbrook Ct
Northbrook, IL 60062-1408

Call (847) 564-0020 Map

Mailing address

9235 Marmora Ave
Morton Grove, IL 60053-1509

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X046.012111 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336068675

Nicole Khoshaba, OD's National Provider Identifier is 1336068675, issued on Jul 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northbrook, IL. The record was last updated on Jul 13, 2026.