Active NPI
Anne Li, MD
- Family Medicine Physician
- Danville, IL
National Provider Identifier
1275510174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036114306
- Practice address
- Credentialling Office
1900 E Main St
Danville, IL 61832-1000 - Phone
- (630) 456-6292
- NPI assigned
- Dec 30, 2005
- Last updated
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036114306 | IL | |
| Occupational Medicine Physician | 2083X0100X | 036114306 | IL | |
| Family Medicine Physician | 207Q00000X | 036114306 | IL | Primary |
Addresses
Primary practice location
Credentialling Office
1900 E Main St
Danville, IL 61832-1000
Mailing address
Credentialling Office
1900 E Main St
Danville, IL 61832-1000
Phone (630) 456-6292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Service Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presence Medical Group
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1831204536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1275510174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CREDENTIALLING OFFICE",
"address_2": "1900 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321000",
"telephone_number": "630-456-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CREDENTIALLING OFFICE",
"address_2": "1900 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321000",
"telephone_number": "630-456-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036114306",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": "036114306",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036114306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.