Anne Chodzko PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANNE CHODZKO PC

Practice address

636 Church St
Suite 701
Evanston, IL 60201-4508

Phone

(847) 926-9487

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anne Chodzko, PHDNPI 1356316939

Title

Clinical Psychologist

Phone

(847) 433-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Chodzko, PHD

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1356316939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1679602809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 DEERFIELD RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353569",
            "telephone_number": "847-433-0810",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 701",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-926-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE CHODZKO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "CHODZKO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-433-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276349",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvia Lucia Angulo
• Yetunde Anifowose, LPC
• Marvi K Anjum
• William John Ankenbrandt, MD
• Ann E Kinnealey MD PC
• Anne Marous PLLC
• Anneliese Kranz LCPC LLC
• Anneliese Kranz LCPC PLLC
• Owaiz Ansari, MD
• Sanjolee Ansari, M.D.

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.