Individual
DR. ANNA ISYANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 880-4414
Mailing address
2114 W ERIE ST, #2W, CHICAGO, IL 60612-1385
(847) 644-8737
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036120280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036120280
IL LICENSE NUMBER
IL
Enumeration date
08/08/2008
Last updated
08/08/2008
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