=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124203153
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANIL SEKHAR M.D.,
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2008
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 W JEFFERSON ST UNIT 103
-----------------------------------------------------
City | SHOREWOOD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60404-7608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-730-5630
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 700 W JEFFERSON ST UNIT 103
-----------------------------------------------------
City | SHOREWOOD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60404-7608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-730-5630
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 036110414
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | ME 100135
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------