Organization Active NPI

M. Sajjad, M.D., S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1962840090
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-122457 Issued in IL
Legal business name
M. SAJJAD, M.D., S.C.
Practice address
2017 S Western Ave
Chicago, IL 60608-2504
Phone
(773) 847-7878
Fax
(773) 847-7879
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Mohammed SajjadNPI 1780809152
Title
President
Phone
(773) 289-6327

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 036-122457 IL Primary

Addresses

Primary practice location

2017 S Western Ave
Chicago, IL 60608-2504

Mailing address

6337 N Keating Ave
Chicago, IL 60646-4425
Phone (773) 289-6327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403001856 IL Part B Supplier - Clinic/Group Practice 0840422978 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2017 S Western Ave
Chicago, IL 60608
Phone (773) 847-7877

Practitioners & affiliated clinicians

Practitioners 1

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": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1962840090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 N KEATING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464425",
            "telephone_number": "773-289-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082504",
            "telephone_number": "773-847-7878",
            "fax_number": "773-847-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SAJJAD, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SAJJAD",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-289-6327"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-122457",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.