Individual
ANNE MARIE VIOLLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 W RAND RD STE 203, MOUNT PROSPECT, IL 60056-1157
(847) 618-5450
(847) 618-5459
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146090
IL
207Q00000X
Family Medicine Physician
125-067028
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036146090
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036146090
STATE LICENSE
IL
Enumeration date
06/24/2015
Last updated
02/16/2026
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