Organization Active NPI

Asj MD SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1740776350
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131733 Issued in IL
Legal business name
ASJ MD SC
Practice address
6508 S Halsted St
Chicago, IL 60621-2616
Phone
(773) 651-1224
NPI assigned
Jul 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Dr. Anuj Jain, MDNPI 1871893859
Title
Owner
Phone
(773) 651-1224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036131733 IL Primary

Addresses

Primary practice location

6508 S Halsted St
Chicago, IL 60621-2616

Mailing address

6508 S Halsted St
Chicago, IL 60621-2616
Phone (773) 651-1224

Other identifiers 1

IdentifierTypeStateIssuer
036131733MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180829003478 IL Part B Supplier - Clinic/Group Practice 4587914262 Receives reassigned benefits from 6 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2223308Asj MD SC6508 S Halsted, Chicago, IL 60621Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

6508 S Halsted St
Ste A
Chicago, IL 60621

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1740776350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-651-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-651-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASJ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-651-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131733",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.