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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHSTAR REHAB PAIN CLINICS PLLC
NPI 1366374035
Durable Medical Equipment & Medical Supplies in Libertyville, IL

Active since May 29, 2026
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048(847) 393-6246(847) 787-1485 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, May 29, 2026 (2 updates tracked since 2026).

About Northstar Rehab Pain Clinics Pllc NPPES

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

NORTHSTAR REHAB PAIN CLINICS PLLC (NPI 1366374035) is a healthcare organization registered as a durable medical equipment & medical supplies in Libertyville, Illinois and active in the NPI registry since May 2026. The organization maintains a secondary practice location in Lake Forest and lists Anjum Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1366374035
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNORTHSTAR REHAB PAIN CLINICS PLLC
Location Address131 E PARK AVE STE 103Libertyville, IL 60048-2858
Mailing Address131 E Park Ave Ste 103Libertyville, IL 60048-2858
Phone(847) 393-6246
Fax(847) 787-1485
Organization SubpartNo
Authorized OfficialAnjum KhanOwner · (312) 813-6593
Enumeration DateMay 29, 2026
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1366374035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
131 E PARK AVE STE 103, Libertyville, IL 60048
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Secondary Practice Location 1

Location 11100 Pembridge DrLake Forest, IL 60045-4228 · Phone (847) 393-6246 · Fax (847) 787-1485

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE MEDICAL CARE SC
Family Medicine
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 984-3290
NORTHSTAR REHAB PAIN CLINICS PLLC
Physical Medicine & Rehabilitation
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 393-6246
DR. KATHERINE M BLAKE D.O.
Family Medicine
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 984-3290

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 Northstar Rehab Pain Clinics PLLC's NPI number?

The NPI number for Northstar Rehab Pain Clinics PLLC is 1366374035. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is Northstar Rehab Pain Clinics PLLC located?

Northstar Rehab Pain Clinics PLLC is located at 131 E Park Ave Ste 103, Libertyville, IL 60048. The listed phone number is (847) 393-6246.

What is Northstar Rehab Pain Clinics PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Northstar Rehab Pain Clinics PLLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.