Individual provider Active NPI

Anna C McCormick Krajewski, DO

  • Maternal & Fetal Medicine Physician
  • Chicago, IL
National Provider Identifier
1164717278
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036-145393 Issued in IL
Practice address
1645 W Jackson Blvd Ste 310
Chicago, IL 60612-3227
Phone
(312) 942-8020
Fax
(312) 942-8222
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 64211 WI
Obstetrics & Gynecology Physician 207V00000X 125-059256 IL
Maternal & Fetal Medicine Physician 207VM0101X 64211 WI
Maternal & Fetal Medicine Physician 207VM0101X 036-145393 IL Primary

Addresses

Primary practice location

1645 W Jackson Blvd Ste 310
Chicago, IL 60612-3227

Mailing address

1725 W Harrison St
Ste 408
Chicago, IL 60612-3852
Phone (312) 942-8020

Other names 1

  • Anna C McCormick Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001230 IL Practitioner - Obstetrics/Gynecology 4385950757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1620 W Harrison St
Chicago, IL 60612-3801

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3841

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125-059256ILMDObstetrics & Gynecology Physician
64211WIMDObstetrics & Gynecology Physician
036-145393ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Rush University Medical Center Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 408
Chicago, IL 60612
Phone (312) 942-3818

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

Interoperability endpoints

  • Direct secure messaging: amccormick17859@direct.rush.rush-health.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1164717278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "STE 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123852",
            "telephone_number": "312-942-8020",
            "fax_number": "312-942-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123227",
            "telephone_number": "312-942-8020",
            "fax_number": "312-942-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK KRAJEWSKI",
        "first_name": "ANNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "64211",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125-059256",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "64211",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-145393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MCCORMICK",
            "middle_name": "C",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.