Catherine Anichini, MD
Individual provider Active NPI Family Medicine Physician · Berwyn, IL
NPI 1023040904 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1023040904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-085273 (IL)
- Practice address
- 6326 Cermak Rd
Berwyn, IL 60402 - Phone
- (708) 303-9234
- Fax
- (305) 698-6536
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526000817 | IL | Practitioner - Family Practice | 2062541253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-085273 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current |
Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current |
Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current |
Accepting new patients | |
| West Suburban Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234
2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273
5660 W 95th St
Oak Lawn, IL 60453
Phone (708) 499-2273
12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-085273 | IL | Yes |
Addresses
Primary practice location
6326 Cermak Rd
Berwyn, IL 60402
Mailing address
6326 Cermak Rd
Berwyn, IL 60402-2304
Phone (708) 303-9234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085273 | Medicaid | IL |
Other providers in Berwyn, IL
- Jennifer Thai Andersen
- Matthew Robert Andersen
- Lisa K Anderson-Shaw
- Anastasiya Andreeva
- Bose Andrews
- Jonathan Aniciete
- Michael Scott Applegate
- April Crawford PSYD PLLC
- Selene Arana
- Edgar E Archbold
All providers in Berwyn, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.