Individual
JUSTIN ROBERT ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 989-3800
(773) 907-1005
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003783
IL
363AM0700X
Medical Physician Assistant
Primary
085003783
IL
Other
Enumeration date
09/08/2010
Last updated
03/31/2026
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