Healthcare Provider Details

I. General information

NPI: 1699160978
Provider Name (Legal Business Name): PROF. ANNA BATELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 06/23/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 W WINDSOR AVE
BERWYN IL
60402-3334
US

IV. Provider business mailing address

5220 EAST AVE
COUNTRYSIDE IL
60525-3133
US

V. Phone/Fax

Practice location:
  • Phone: 708-745-5277
  • Fax:
Mailing address:
  • Phone: 708-745-5277
  • Fax: 708-784-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: