Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE KHOSHABA OD
NPI 1336068675
Student in an Organized Health Care Education/Training Program in Northbrook, IL

Q: What is Nicole Khoshaba's NPI number?

The NPI number for Nicole Khoshaba is 1336068675. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Nicole Khoshaba's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Khoshaba was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2026

2230 NORTHBROOK CT, NORTHBROOK, IL 60062(847) 564-0020 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Khoshaba Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE KHOSHABA OD (NPI 1336068675) is an individual student in an organized health care education/training program in Northbrook, Illinois, licensed in Illinois (046.012111) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1336068675

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE KHOSHABACredential: OD

Location Address2230 NORTHBROOK CTNorthbrook, IL 60062-1408

Mailing Address9235 Marmora AveMorton Grove, IL 60053-1509

Phone(847) 564-0020

Sole ProprietorNo

Enumeration DateJuly 13, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1336068675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 046.012111

Definition

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.

2230 NORTHBROOK CT, Northbrook, IL 60062

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Khoshaba's NPI number?

The NPI number for Nicole Khoshaba is 1336068675. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Nicole Khoshaba located?

Nicole Khoshaba practices at 2230 Northbrook Ct, Northbrook, IL 60062. The listed phone number is (847) 564-0020.

What is Nicole Khoshaba's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Khoshaba was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.