Active NPI
Natalia Anikin MD PC
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1891875720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036-113263
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113263 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1639140403
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.