Healthcare Provider Details

I. General information

NPI: 1104439249
Provider Name (Legal Business Name): ANNA BABOULAS COOMBS DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W RAND RD STE 101
ARLINGTON HEIGHTS IL
60004-2315
US

IV. Provider business mailing address

4901 SEARLE PKWY STE 150
SKOKIE IL
60077-5320
US

V. Phone/Fax

Practice location:
  • Phone: 847-221-4900
  • Fax: 847-221-4996
Mailing address:
  • Phone: 847-982-3363
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209021781
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: