# NORTHSTAR REHAB PAIN CLINICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHSTAR REHAB PAIN CLINICS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134863749
- **Authorized official:** ANJUM KHAN MD (CEO)
- **Authorized official phone:** (312) 813-6593

## Contact information

- **Practice address:** 131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048-2858
- **Practice address phone:** (847) 393-6246
- **Mailing address:** 1236 MCDANIELS AVE, HIGHLAND PARK, IL 60035-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 01/29/2025