Farzaneh Moh Entezari
APN | Nurse Practitioner - Primary Care | 5+ years Exp
1701 Curtis Rd, Champaign
Illinois, 61822-9678
217-365-6207
Farzaneh Moh Entezari is a Champaign, Illinois based nurse practitioner with 5 years of experience in Primary Care. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Farzaneh Moh Entezari is 209022654 for Family in Illinois. Her current practice location is 1701 Curtis Rd, Champaign. Patients can reach her at 217-365-6207. Farzaneh Moh Entezari is APN with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1770177172.
Farzaneh Moh Entezari is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Farzaneh Moh Entezari speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Farzaneh Moh Entezari |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | APN |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1701 Curtis Rd, Champaign,
Illinois, 61822-9678 |
| Phone: | 217-365-6207 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9234537564 |
| Enrollment ID: | I20211018000762 |
| NPI Number: | 1770177172 |
| NPI Enumeration Date: | 25 Feb, 2021 |
| NPI Last Update On: | 07 Nov, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Farzaneh Moh Entezari are as mentioned below.
| License Number | Specialization | State | Status | |
| 209022654 | Family | Illinois | Primary | |
| 209.022654 | Primary Care | Illinois | Secondary | |
| 041.438415 | Registered Nurse | Illinois | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Farzaneh Moh Entezari is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lynn Mershon Do Ltd (4385537299) | 25 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Farzaneh Moh Entezari
611 W Park St, Fapc
Urbana, Illinois |
| Zip: | 61801-2500 |
Patients can reach Farzaneh Moh Entezari at
1701 Curtis Rd, Champaign, Illinois or can
call to book an appointment on 217-365-6207.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.