Individual provider Active NPI

Anila Khan, DO

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1205896974
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131409 Issued in IL
Practice address
825 E Golf Rd Ste 1430
Arlington Heights, IL 60005-5700
Phone
(224) 508-8774
Fax
(224) 298-0341
NPI assigned
Mar 25, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036131409 IL Primary

Addresses

Primary practice location

825 E Golf Rd Ste 1430
Arlington Heights, IL 60005-5700

Mailing address

7061 N Kedzie Ave Ste 1402
Chicago, IL 60645-2869
Phone (224) 508-8774

Other practice location 1

6501 N Lincoln Ave
Lincolnwood, IL 60712-3925
Phone (847) 242-1001

Other practice location 2

2515 W Lawrence Ave
Chicago, IL 60625-3679
Phone (773) 989-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Past Accepting new patients
Home Care Physicians, Inc. Past Accepting new patients
Omni Health.P.C PastSince Sep 18, 2019 Accepting new patients
Rural Iowa Specialty Physicians Consortium Inc Past Accepting new patients
Illinois Center for Pain Control LLC PastSince Jun 29, 2022 Accepting new patients
Central Iowa Hospital Corporation Family Medicine Past Accepting new patients
Hy Vee Iowa Health LC Family Medicine Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1205896974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 N KEDZIE AVE STE 1402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452869",
            "telephone_number": "224-508-8774",
            "fax_number": "224-298-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E GOLF RD STE 1430",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055700",
            "telephone_number": "224-508-8774",
            "fax_number": "224-298-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607123925",
            "country_code": "US",
            "telephone_number": "847-242-1001",
            "fax_number": "847-739-7219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253679",
            "country_code": "US",
            "telephone_number": "773-989-3344",
            "fax_number": "773-989-8458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANILA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.