MEDICARE: ANNA LEVINA FNP

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	209021776	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	209021776	OTHER	IL	LICENSE

General Provider Information

NPI Number	:	1619641883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA LEVINA FNP

Provider Business Mailing Address
First Line	:	400 N MAY ST STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-6495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N MAY ST STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-6495
Country	:	US
Telephone Number	:	888-491-6729
Fax Number	:

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

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	02/09/2026

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Directions to “ ANNA LEVINA FNP” Practice Location

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