MEDICARE: ANITRA L KEMP-MAJOR MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	041-335162	IL
2	363LF0000X	Family Nurse Practitioner	209011553	IL
3	363LF0000X	Family Nurse Practitioner	277-000807	IL
4	363L00000X	Nurse Practitioner	277-000807	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	209011553	OTHER	IL	APN LICENSE NUMBER

General Provider Information

NPI Number	:	1306248646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITRA L KEMP-MAJOR MSN, FNP-C

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E 87TH ST STE 500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-7038
Country	:	US
Telephone Number	:	773-967-4840
Fax Number	:	773-933-0018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	11/26/2024

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