Healthcare Provider Details

I. General information

NPI: 1699696732
Provider Name (Legal Business Name): ANNA LUDVIGSEN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N MICHIGAN AVE STE 707
CHICAGO IL
60601-7706
US

IV. Provider business mailing address

1818 N HALSTED ST APT 204
CHICAGO IL
60614-5076
US

V. Phone/Fax

Practice location:
  • Phone: 312-819-7381
  • Fax: 312-428-3093
Mailing address:
  • Phone: 313-854-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: