Lizandra Anzo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-008930 Issued in IL

Practice address

4255 W 63Rd St
Chicago, IL 60629-5041

Phone

(773) 424-4048

NPI assigned

Aug 25, 2016

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mirshed Medical Center S C

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1083880637
  Medicare reassignment
• Childrens Care Translation Center 2 Inc

  • Interpreter
  • Berwyn, IL
  • NPI 1851757181
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376099879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295041",
            "telephone_number": "773-424-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295041",
            "telephone_number": "773-424-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZO",
        "first_name": "LIZANDRA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-008930",
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE",
            "identifier": "385006802",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "085-008930",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavinia Anzai, M.D.
• Priscilla Anzaldua, LCSW
• Richard Anzalone, PHARMD
• Stephanie Anzelc
• Joan Anzia, MD
• Ao Psychological Services LLC (Amanda Ori PSYD and Associates)
• Aoba Enterprises, Inc
• Aosta Supply, LLC
• Zineb Aouhab, M.D
• Allison Aown, APRN, CRNA

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.