Individual
JANE ANICHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
845 W WILSON AVE, ATTN: CREDENTIALING DPT, CHICAGO, IL 60640-8090
(773) 506-4283
(773) 506-4847
Mailing address
3048 N WILTON AVE, ATTN: CREDENTIALING DPT, CHICAGO, IL 60657-6710
(773) 296-7580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041580175
IL
363LF0000X
Family Nurse Practitioner
004766
CT
363LF0000X
Family Nurse Practitioner
Primary
209010140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
05
—
209010140
—
IL
Enumeration date
06/15/2011
Last updated
03/28/2013
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