Individual provider Active NPI

Azlan Tariq, D.O

  • Physical Medicine & Rehabilitation Physician
  • Palos Heights, IL
National Provider Identifier
1528291283
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
336.094099 Issued in IL
Practice address
7850 W College Dr
Palos Heights, IL 60463-1010
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 336.094099 IL Primary

Addresses

Primary practice location

7850 W College Dr
Palos Heights, IL 60463-1010

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other identifiers 2

IdentifierTypeStateIssuer
036132883OtherILLICENSE NO
P01418887OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN, IL, MI, OK, MD, OH, DC, FL, IA, GA11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20120511000315 WI Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20130523000316 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Peripheral Vascular Disease 1355504267 Reassigns benefits to 2 organizations
I20150114001700 IL Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 2 organizations
I20220614000276 MI Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 2 organizations
I20240329000715 OK Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20250123003663 MD Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20250307000390 OH Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20250409000479 DC Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20250915003970 FL Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20251014001893 IA Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization
I20260216002719 GA Practitioner - Physical Medicine and Rehabilitation 1355504267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Peripheral Vascular Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Health Medical Afil PCGroup PAC ID 5395197677, 2 clinicians
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians
Great Health Medical FL PAGroup PAC ID 2163872136, 2 clinicians

Practice addresses (Care Compare)

1345 N Madison Ave
Anderson, IN 46011-1215
Phone (212) 734-6621

1552 N Honeytown Rd
Wooster, OH 44691-9511
Phone (212) 734-6621

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (212) 734-6621

2501 Chatham Rd
Springfield, IL 62704-4188
Phone (212) 734-6621

3011 N Ctr Rd
Flint, MI 48506-3149
Phone (212) 734-6621

3905 Lorraine Path
Saint Joseph, MI 49085-8630
Phone (269) 428-1111

424 N Date Ave
Broken Arrow, OK 74012-3872
Phone (918) 251-5343

503 Otis Bowen Dr
Munster, IN 46321-4158
Phone (844) 559-1600

515 Brightfield Rd
Lutherville, MD 21093-3643
Phone (212) 734-6621

5300 W 16 Ave
Hialeah, FL 33012-2104
Phone (212) 734-6621

550 S Carlin Springs Rd
Arlington, VA 22204-1022
Phone (212) 734-6621

815 E Locust St
Davenport, IA 52803-4345
Phone (212) 734-6621

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336.094099ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Mi PC CurrentSince Nov 1, 2024 Accepting new patients
Great Health Medical Oh Inc CurrentSince Oct 1, 2024 Accepting new patients
Great Health Medical Wi SC CurrentSince Sep 1, 2024 Accepting new patients
Great Health Medical Iowa PC CurrentSince Jun 1, 2025 Accepting new patients
Great Health Medical Afil, P.C. CurrentSince Apr 12, 2025 Accepting new patients
Great Health Medical FL PA CurrentSince Sep 1, 2025 Accepting new patients
Great Health Medical Ga PC CurrentSince Dec 1, 2025 Accepting new patients
Great Health Medical in PC CurrentSince Mar 1, 2025 Accepting new patients

Locations

5300 W 16th Ave
Hialeah, FL 33012
Phone (305) 290-3801

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

815 E Locust St
Davenport, IA 52803
Phone (563) 324-3276

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

1345 N Madison Ave
Anderson, IN 46011
Phone (765) 644-2888

3011 N Center Rd
Flint, MI 48506
Phone (710) 736-0600

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

31 Spencer St
Ste 1501
Brooklyn, NY 11205
Phone (718) 851-3700

1552 N Honeytown Rd
Wooster, OH 44691
Phone (216) 450-1643

1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554

2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1528291283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631010",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "AZLAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "336.094099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "036132883",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01418887",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.