Individual
ANNA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2331 W CHICAGO AVE, CHICAGO, IL 60622-4723
(773) 772-7858
Mailing address
PO BOX 3603, OAK BROOK, IL 60522-3603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
041359915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13543058
CAQH
IL
01
—
209011573
STATE LICENSE - ADVANCED PRACTICE NURSE
IL
01
—
A0513030
AANP - ADULT NURSE PRACTITIONER CERTIFICATION
—
01
—
QXIPQ0000181327
AETNA BETTER HEALTH
IL
Enumeration date
03/18/2015
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us