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Individual

LATISHA ANAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
27401 W HIGHWAY 22 STE 125, BARRINGTON, IL 60010-5934
(847) 381-0811
(847) 381-0388
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005005
IL
363A00000X
Physician Assistant
7893-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100279942
WI
Enumeration date
06/09/2014
Last updated
08/20/2024
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