Ann E Kinnealey, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

036050081 Issued in IL

Practice address

800 Austin St
Ste 557
Evanston, IL 60202-3456

Phone

(847) 869-2076

Fax

(847) 475-3414

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Illinois Cancer Specialists

  • Hematology & Oncology Physician
  • Chicago, IL
  • NPI 1750338844
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1205821857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "STE 557",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023456",
            "telephone_number": "847-869-2076",
            "fax_number": "847-475-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEALEY",
        "first_name": "ANN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036050081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret King, PA
• Kingdom Reliable Transport LLC
• Chad Patrick Kingsbury, LCSW
• Hanna Marie Kingstad
• Bailey Kingston
• Timothy James Kinsey, PA-C
• Cheryl Ann Kinsman, PH. D.
• Kinzie Therapy & Consulting PLLC
• Taya Kinzie, LCSW, EDD
• Kelsey L. Kippe, APN-CRNA

• Medical Oncology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Medical Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.