Individual provider Active NPI

Anna Marie Canlas Sioson, CNP

  • Family Nurse Practitioner
  • Lake Forest, IL
National Provider Identifier
1528402856
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.009885 Issued in IL
Practice address
520 N Western Ave
Lake Forest, IL 60045
Phone
(847) 810-5990
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009885 IL
Family Nurse Practitioner 363LF0000X 209.009885 IL Primary

Addresses

Primary practice location

520 N Western Ave
Lake Forest, IL 60045

Mailing address

520 N Western Ave
Lake Forest, IL 60045
Phone (847) 810-5990

Other practice location 1

500 N Western Ave
Lake Forest, IL 60045-1954
Phone (847) 810-5991

Other practice location 2

1925 Huntley Rd
West Dundee, IL 60118-9301
Phone (815) 338-6600

Other practice location 3

2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (815) 338-6600

Other practice location 4

10350 Haligus Rd
Huntley, IL 60142-9545
Phone (815) 338-6600

Other practice location 5

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 338-6600

Other practice location 6

520 N Western Ave
Lake Forest, IL 60045-1920
Phone (847) 810-5990

Other identifiers 1

IdentifierTypeStateIssuer
209009885OtherILSTATE LICENSE

Other names 1

  • Mrs. Aimee Canlas Sioson Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131121001160 IL Practitioner - Nurse Practitioner 6305072380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians

Practice addresses (Care Compare)

1001 S Randall Rd
Elgin, IL 60123-4106
Phone (877) 250-2373

101 S Northwest Hwy
Barrington, IL 60010-4607
Phone (866) 389-2727

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

1305 Randall Rd
Crystal Lake, IL 60014-8601
Phone (866) 389-2727

1539 Clavey Rd
Highland Park, IL 60035-4414
Phone (866) 389-2727

2020 E Grand Ave
Lindenhurst, IL 60046-9069
Phone (866) 389-2727

520 N Western Ave
Lake Forest, IL 60045-1920
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.009885ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal at Home LLC Family CurrentSince Mar 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince May 6, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2019 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2019 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

800 Broadview Village Sq
Broadview, IL 60155
Phone (708) 681-2453

Dept 5777
Carol Stream, IL 60122

1101 W Jackson Blvd
Chicago, IL 60607
Phone (302) 279-3340

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 477-7350

1001 S Randall Rd
Elgin, IL 60123
Phone (847) 468-9777

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

520 N Western Ave
Lake Forest, IL 60045
Phone (847) 739-3111

2020 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4302

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

7300 191st St
Tinley Park, IL 60487
Phone (815) 464-0023

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1528402856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-810-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-810-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451954",
            "country_code": "US",
            "telephone_number": "847-810-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Huntley Rd",
            "address_purpose": "LOCATION",
            "city": "West Dundee",
            "state": "IL",
            "postal_code": "601189301",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-426-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 N Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600515407",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-385-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "60014",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451920",
            "country_code": "US",
            "telephone_number": "847-810-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIOSON",
        "first_name": "ANNA MARIE",
        "middle_name": "CANLAS",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209009885",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "SIOSON",
            "middle_name": "CANLAS",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.