ALJAZI MEDICAL GROUP LLC
NPI 1033042809
Clinic/Center - Primary Care in Chicago, IL

Active since June 03, 2026
3505 N PONTIAC AVE, CHICAGO, IL 60634(312) 610-2875(908) 279-0587 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aljazi Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALJAZI MEDICAL GROUP LLC (NPI 1033042809) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since June 2026. The organization lists Khadra Aljazi, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1033042809
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALJAZI MEDICAL GROUP LLC
Location Address3505 N PONTIAC AVEChicago, IL 60634-2849
Mailing Address3505 N Pontiac AveChicago, IL 60634-2849 · (312) 610-2875 · Fax (908) 279-0587
Fax(908) 279-0587
Organization SubpartNo
Authorized OfficialKhadra AljaziNp/owner · (312) 610-2875
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1033042809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3505 N PONTIAC AVE, Chicago, IL 60634

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aljazi Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aljazi Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1427599265
4332 N ELSTON AVE
Chicago, IL 60641
(773) 754-3500
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aljazi Medical Group LLC's NPI number?

The NPI number for Aljazi Medical Group LLC is 1033042809. It was assigned to this organization in the NPPES registry on June 3, 2026.

Where is Aljazi Medical Group LLC located?

Aljazi Medical Group LLC is located at 3505 N Pontiac Ave, Chicago, IL 60634. The listed phone number is (312) 610-2875.

What is Aljazi Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Aljazi Medical Group LLC enrolled in Medicare?

Yes. Aljazi Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aljazi Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aljazi Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aljazi Medical Group LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.