Individual provider Active NPI

Inger Anthony, APN

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1871769752
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209005768 Issued in IL
Practice address
1801 W Taylor Street
Suite 2E
Chicago, IL 60612
Phone
(312) 996-7416
Fax
(312) 413-0243
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209005768 IL Primary

Addresses

Primary practice location

1801 W Taylor Street
Suite 2E
Chicago, IL 60612

Mailing address

840 S Wood Street
MC 856
Chicago, IL 60612
Phone (312) 996-7416

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
I20151223001861 IL Practitioner - Nurse Practitioner 5294036844 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209005768ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince May 16, 2016 Accepting new patients
PCC Community Wellness Center CurrentSince Dec 21, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
PCC Community Wellness Center CurrentSince Dec 21, 2015 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince May 16, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

7732 Solution Ctr
Dept 3445 PEDS
Chicago, IL 60677

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711

1801 W Taylor St
Ste 2E
Chicago, IL 60612
Phone (312) 996-7416

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: ianthony16850@uihealth.direct-ci.com

Organizations & group practices 7

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1871769752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD STREET",
            "address_2": "MC 856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-7416",
            "fax_number": "312-996-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR STREET",
            "address_2": "SUITE 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-7416",
            "fax_number": "312-413-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "INGER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209005768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.