Active NPI
Asj MD SC
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036131733
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anuj Jain, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131733 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2223308 | Asj MD SC | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1871893859
-
- Nurse Practitioner
- Evanston, IL
- NPI 1417450867
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1538775846
-
- Medical Physician Assistant
- Chicago, IL
- NPI 1083871115
-
- Family Nurse Practitioner
- Willowbrook, IL
- NPI 1184199143
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.