Organization
NORTHSTAR REHAB PAIN CLINICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJUM KHAN (OWNER)
(312) 813-6593
Entity
Organization
Contact information
Practice address
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048-2858
(847) 393-6246
(847) 787-1485
Mailing address
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048-2858
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
07/08/2026
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