Anna Marie Land, M.D.
Individual provider Active NPI Family Medicine Physician · Hometown, IL
NPI 1659518967 · NPPES record last updated Jan 8, 2009
Key facts
- NPI
- 1659518967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125.051155 (IL)
- Practice address
- 4140 Southwest Hwy
Hometown, IL 60456-1135 - Phone
- (708) 422-5700
- Fax
- (708) 422-8225
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200429000230 | IL | Practitioner - Family Practice | 1557638137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.051155 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partnership of Illinois | Current |
Accepting new patients | |
| Community Health Partnership of Illinois | Current |
Accepting new patients |
Locations
157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015
205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000
62 N Ayer St
Harvard, IL 60033
Phone (815) 943-4339
Interoperability endpoints
- anna.land.1@13826.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.051155 | IL | Yes |
Addresses
Primary practice location
4140 Southwest Hwy
Hometown, IL 60456-1135
Mailing address
4140 Southwest Hwy
Hometown, IL 60456-1135
Phone (708) 422-5700
Other providers in Hometown, IL
- Misha Jane Ivetich
- Ashok Jhanji
- Themi Jouras
- Jolyne Noel Kaar
- Edward J Kim
- Alice-Gray Lewis
- Shelly M McElroy
- Erik Jon McLaughlin
- Robert R Miller
- Michael Edward Minnella
All providers in Hometown, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.