Organization Active NPI

Natalia Anikin MD PC

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1891875720
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-113263 Issued in IL
Legal business name
NATALIA ANIKIN MD PC
Practice address
4646 N Marine Dr
B 125
Chicago, IL 60640-5759
Phone
(773) 572-0032
Fax
(773) 572-0029
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Dr. Natalia Anikin, M.D.
Title
President
Phone
(312) 787-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 036-113263 IL Primary

Addresses

Primary practice location

4646 N Marine Dr
B 125
Chicago, IL 60640-5759

Mailing address

33 W Ontario St Apt 36B
Chicago, IL 60654-7771
Phone (312) 787-4916

Other identifiers 1

IdentifierTypeStateIssuer
036113263MedicaidIL

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
#125
Chicago, IL 60640
Phone (773) 572-0032

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1891875720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W ONTARIO ST APT 36B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547771",
            "telephone_number": "312-787-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "B 125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-572-0032",
            "fax_number": "773-572-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIA ANIKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "ANIKIN",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-787-4916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-113263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113263",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.