Individual provider Active NPI

Anna G Weinberg Kliner, FNP-C

  • Family Nurse Practitioner
  • Northfield, IL
National Provider Identifier
1508230475
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013261 Issued in IL
Practice address
1825 Willow Rd
Northfield, IL 60093-2925
Phone
(800) 323-8622
Fax
(224) 225-0364
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013261 IL Primary

Addresses

Primary practice location

1825 Willow Rd
Northfield, IL 60093-2925

Mailing address

1825 Willow Rd
Northfield, IL 60093-2925
Phone (800) 323-8622

Other practice location 1

3030 N Mobile Ave
Chicago, IL 60634-4041
Phone (708) 406-3041

Other practice location 2

777 Park Ave W
Highland Park, IL 60035-2433
Phone (773) 914-3333

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

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1508230475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WILLOW RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932925",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WILLOW RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932925",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 N Mobile Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606344041",
            "country_code": "US",
            "telephone_number": "708-406-3041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Park Ave W",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352433",
            "country_code": "US",
            "telephone_number": "773-914-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG KLINER",
        "first_name": "ANNA",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.