Individual provider Active NPI

Khadra K Aljazi

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1427599265
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001095 Issued in IL
Practice address
4332 N Elston Ave
Chicago, IL 60641-2144
Phone
(773) 754-3500
NPI assigned
Mar 13, 2017
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277001095 IL Primary

Addresses

Primary practice location

4332 N Elston Ave
Chicago, IL 60641-2144

Mailing address

3505 N Pontiac Ave
Chicago, IL 60634-2849
Phone (312) 610-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001419 IL Practitioner - Nurse Practitioner 8628340411 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Illinois PCGroup PAC ID 1456724434, 35 clinicians
CH Specialty Services Il PLLCGroup PAC ID 8224402482, 20 clinicians

Practice addresses (Care Compare)

111 W Jackson Blvd
Suite 1700
Chicago, IL 60604-3597
Phone (337) 991-9276

Hospital & facility affiliations

  • Elara Caring Home health agency, Des Plaines, IL, CCN 147669

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aljazi Medical Group LLC CurrentSince Jan 17, 2019 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2017 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Sep 1, 2023 Accepting new patients
Absolute Medical Group, Inc CurrentSince Aug 31, 2022 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2017 Accepting new patients
Hyong Kim MD Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
Curana Health of Illinois PC CurrentSince Apr 8, 2025 Accepting new patients
CH Specialty Services Il PLLC CurrentSince Apr 8, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

8200 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-9850

211 N Market St
Sparta, IL 62286
Phone (618) 391-0242

7060 Centennial Dr
Ste 102
Tinley Park, IL 60477
Phone (708) 614-9800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1427599265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N PONTIAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342849",
            "telephone_number": "312-610-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412144",
            "telephone_number": "773-754-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALJAZI",
        "first_name": "KHADRA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.