Active NPI
Anjum Khan, MD
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036.125683
- Practice address
- 5425 W Belmont Ave
Chicago, IL 60641-4127 - Phone
- (312) 702-1313
- NPI assigned
- Apr 6, 2007
- Last updated
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT188105 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 125.052236 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301502986 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036.125683 | IL | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 4301502986 | MI |
Addresses
Primary practice location
5425 W Belmont Ave
Chicago, IL 60641-4127
Mailing address
1236 McDaniels Ave
Highland Park, IL 60035-3645
Phone (312) 813-6593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | northstarrehabpain@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
131 E Park Ave
Suite 103
Libertyville, IL 60048-2858
Phone (847) 393-6246
3501 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5938
Phone (616) 729-7290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT188105 | PA | MD | Internal Medicine Physician |
| 036.125683 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 125.052236 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Rehab Pain Clinics PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Michigan Sports and Spine Center PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Northstar Rehab Pain Clinics PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Advanced Pain & Back Institute, Inc. | Current | Accepting new patients | |
| Integrative Rehabmedicine SC | Current | Accepting new patients | |
| Ramin Rahimi D.O. | Past | Accepting new patients |
Locations
165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
5425 W Belmont Ave
Chicago, IL 60641
Phone (312) 702-1313
335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791
131 E Park Ave
Ste 103
Libertyville, IL 60048
Phone (847) 327-1434
1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
345 Executive Pkwy
Ste M4
Rockford, IL 61107
Phone (815) 399-1141
4225 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (847) 376-8969
9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210
9028 N Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 729-7290
3501 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546
Phone (248) 657-4223
3501 Lake Eastbrook Blvd SE
Ste 258
Grand Rapids, MI 49546
Phone (616) 315-0282
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840
1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000
Organizations & group practices 8
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.
-
- Physical Medicine & Rehabilitation Physician
- Libertyville, IL
- NPI 1134863749
MI
-
- Interventional Pain Medicine Physician
- Chicago, IL
- NPI 1851765804
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
-
dba Medlux Rehab & Wellness
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Rockford, IL
- NPI 1902014285
-
- Physical Medicine & Rehabilitation Physician
- Livonia, MI
- NPI 1205887262
-
- Durable Medical Equipment & Medical Supplies
- Libertyville, IL
- NPI 1366374035
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1326236027
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Condell Imaging Center
- Mobile Mammography Clinic/Center
- Gurnee, IL
- NPI 1023262441
Hospital
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
dba Advocate Condell Medical Center Grays Lake
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1851413173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 MCDANIELS AVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353645",
"telephone_number": "312-813-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606414127",
"telephone_number": "312-702-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ANJUM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT188105",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "125.052236",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301502986",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036.125683",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MI",
"license": "4301502986",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "northstarrehabpain@gmail.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"address_1": "3501 Lake Eastbrook Blvd SE Ste 258",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495465941",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.