DR. ANJUM N KHAJA (NPI# 1790876837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790876837 |
| Entity Type | Individual |
| Full Name | DR. ANJUM N KHAJA |
| Credential | M.D. |
| Practice Address |
4740 N Clark St Chicago IL 60640-4689 |
| Practice Telephone | 7737690205 |
| Practice Fax Number | 7737650801 |
| Mailing Telephone | 7737690205 |
| Mailing Fax Number | 7737650801 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036091774 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036091774 | 05 | |
| IL | BLUE SHIELD | 036091774 | 01 |
| Street Address |
4740 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861411357 | Todd Frederick Harrison | Social Worker | 4740 N Clark St, C/o C4, Chicago, IL 60640-4689 | 2006-07-18 |
| 1972141950 | Alison Dowd | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2019-12-20 |
| 1275007486 | Teri Cicurel | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2019-01-22 |
| 1609346410 | Chantal Pico | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2018-12-05 |
| 1023595683 | Michelle L Johnson | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2018-07-25 |
| 1649770827 | Judith D Russell | Registered Nurse | 4740 N Clark St, Chicago, IL 60640-4689 | 2018-02-14 |
| 1871009167 | Andrea Vernon-cwik | Social Worker | 4740 N Clark St, Chicago, IL 60640-4689 | 2017-12-21 |
| 1790290385 | Anna Lyman | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2017-12-05 |
| 1639540974 | John Vizuete | Social Worker | 4740 N Clark St, Chicago, IL 60640-4689 | 2015-10-13 |
| 1063888618 | Monica Sade Mitchell | Counselor | 4740 N Clark St, Chicago, IL 60640-4689 | 2015-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.