MEDICARE: KHALIDA A ANWAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	2002001968	MO
2	208100000X	Physical Medicine & Rehabilitation Physician	036108864	IL
3	208100000X	Physical Medicine & Rehabilitation Physician	010-66034A	IN
4	208100000X	Physical Medicine & Rehabilitation Physician	ME129664	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952384117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALIDA A ANWAR MD

Provider Business Mailing Address
First Line	:	2180 PFINGSTEN RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1339
Country	:	US
Telephone Number	:	847-612-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	2180 PFINGSTEN RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1339
Country	:	US
Telephone Number	:	847-612-9006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	08/01/2023

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Directions to “ KHALIDA A ANWAR MD” Practice Location

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