MEDICARE: KAITLYN NOELLE ANWAR APRN

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	363L00000X	Nurse Practitioner	209031779	IL
2	363LF0000X	Family Nurse Practitioner	209.031779	IL

General Provider Information

NPI Number	:	1912707746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN NOELLE ANWAR APRN

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:	847-733-5315

Provider Business Practice Location Address
First Line	:	2007 95TH ST STE 105
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-7802
Country	:	US
Telephone Number	:	630-646-6920
Fax Number	:	630-646-6925

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

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	04/02/2026

Similar Medicare Providers

1992010516 — YAYATI S. PATEL D.O.
Practice Location Address:

2007 95TH ST STE 105
NAPERVILLE, IL
60564-7802

Practice Phone: 630-646-6920
Practice Fax: 630-646-6925

1730606583 — LEANN R RUSHING PA-C
Practice Location Address:

2007 95TH ST STE 105
NAPERVILLE, IL
60564-7802

Practice Phone: 630-646-6920
Practice Fax: 630-548-1749

1922595271 — SOHA IQBAL SHAIKH DO
Practice Location Address:

2007 95TH ST STE LLA
NAPERVILLE, IL
60564-7802

Practice Phone: 630-848-1700
Practice Fax:

1487289914 — SANDRA MANLEY-EICHLER LCSW
Practice Location Address:

2007 95TH ST STE 105
NAPERVILLE, IL
60564-7802

Practice Phone: 630-646-6920
Practice Fax:

1538156294 — ROBERT S CZEPIEL MD
Practice Location Address:

2007 95TH ST , STE 105
NAPERVILLE, IL
60563-7802

Practice Phone: 630-646-6920
Practice Fax: 630-646-6925

1528079803 — LARA M. ELLISON D.O.
Practice Location Address:

2007 95TH STREET , SUITE 105
NAPERVILLE, IL
60563-7802

Practice Phone: 630-646-6920
Practice Fax: 630-646-6925

Directions to “ KAITLYN NOELLE ANWAR APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.