Individual
ANITA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
446 E ONTARIO ST STE 7-200, CHICAGO, IL 60611-4418
(312) 694-0284
(508) 934-7380
Mailing address
446 E ONTARIO ST STE 7-200, CHICAGO, IL 60611-4418
(312) 694-0284
(508) 934-7380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0361511263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174985055
—
IL
Enumeration date
03/22/2016
Last updated
11/11/2020
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