Dr Priti Khanna Mahajan, MD is a
Physical Medicine & Rehabilitation physician based in Forest Park, Illinois. Dr Priti Khanna Mahajan is licensed to practice in Illinois (license number 036094381) and her current practice location is 8200 Roosevelt Rd, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 488-9850.
NPI number for Dr Priti Khanna Mahajan is 1629030630 and her current mailing address is 401 N Michigan Ave, Suite 1200, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629030630.
Physician's Profile
| Full Name | Dr Priti Khanna Mahajan |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 8200 Roosevelt Rd, Forest Park, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629030630
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 10/10/2016
Medical Identifiers
Medical identifiers for Dr Priti Khanna Mahajan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629030630 | NPI | - | NPPES |
| 036094381 | Other | IL | LICENSE NO |
| 036094381 | Medicaid | IL | |
| P01406915 | Other | IL | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 036094381 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Priti Khanna Mahajan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Priti Khanna Mahajan, MD 401 N Michigan Ave, Suite 1200, Chicago, IL 60611-4264 Ph: (312) 635-0973 | Dr Priti Khanna Mahajan, MD 8200 Roosevelt Rd, Forest Park, IL 60130-2528 Ph: (708) 488-9850 |
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