Individual
DR. ANNA ILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
250 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
(317) 962-8646
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01057644
IN
2085R0202X
Diagnostic Radiology Physician
01057644
IN
2085R0202X
Diagnostic Radiology Physician
Primary
M5238
TX
2085R0204X
Vascular & Interventional Radiology Physician
01057644
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445290
—
IN
Enumeration date
06/04/2006
Last updated
06/27/2024
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