MEDICARE: ANNA MIKAL GETZ FNP-BC

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	209035920	IL

General Provider Information

NPI Number	:	1578489324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MIKAL GETZ FNP-BC

Provider Business Mailing Address
First Line	:	1870 SILVER CROSS BLVD STE 200
Second Line	:
City	:	NEW LENOX
State	:	IL
Zip	:	60451-8646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 SILVER CROSS BLVD STE 200
Second Line	:
City	:	NEW LENOX
State	:	IL
Zip	:	60451-8646
Country	:	US
Telephone Number	:	630-323-6116
Fax Number	:

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

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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