Diane Anzelde
Individual provider Active NPI Driver · Schaumburg, IL
NPI 1437334802 · NPPES record last updated Jan 4, 2008
Key facts
- NPI
- 1437334802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- A524-1734-4921 (IL)
- Practice address
- 2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599 - Phone
- (847) 397-8497
- NPI assigned
- Jan 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A524-1734-4921 | IL | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | A524-1734-4921 | IL | Yes |
Addresses
Primary practice location
2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599
Mailing address
2548 Crooked Creek Rd
204
Schaumburg, IL 60173-5599
Phone (847) 397-8497
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.