Individual
ANNA BABOULAS COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
(773) 435-9029
Mailing address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
(773) 435-9029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.021781
IDFPR
IL
01
—
F349320
NY NP LICENSE
NY
Enumeration date
08/28/2020
Last updated
05/15/2025
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