Active NPI
Mansoor Kamal Sikander, O.T.R.
- Occupational Therapist
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056009090
- Practice address
- 2323 McDaniel Ave
Evanston, IL 60201-2549 - Phone
- (630) 207-1176
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160003627 | IL | |
| Occupational Therapist | 225X00000X | 056009090 | IL | Primary |
Addresses
Primary practice location
2323 McDaniel Ave
Evanston, IL 60201-2549
Mailing address
2843 Windsor Dr Apt 109
Lisle, IL 60532-6203
Phone (630) 207-1176
Other practice location 1
10124 S Kedzie Ave
Evergreen Park, IL 60805-3738
Phone (708) 907-7113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 W Schaumburg Rd
Streamwood, IL 60107-1459
Phone (630) 444-7087
12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042
1675 W 7TH St
Cortlyn at Astral at Auburn
Auburn, IN 46706-2084
Phone (260) 619-7060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160003627 | IL | MD | Physical Therapy Assistant |
| 056009090 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
1675 W 7th St
Auburn, IN 46706
Phone (260) 247-6632
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Organizations & group practices 4
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.
-
- Physical Therapist
- Grayslake, IL
- NPI 1689141376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1710004627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 WINDSOR DR APT 109",
"city": "LISLE",
"state": "IL",
"postal_code": "605326203",
"telephone_number": "630-207-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 MCDANIEL AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012549",
"telephone_number": "630-207-1176"
}
],
"practiceLocations": [
{
"address_1": "10124 S Kedzie Ave",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608053738",
"country_code": "US",
"telephone_number": "708-907-7113",
"fax_number": "708-907-7005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIKANDER",
"first_name": "MANSOOR",
"middle_name": "KAMAL",
"name_prefix": "Mr.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160003627",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.