Healthcare Provider Details

I. General information

NPI: 1447498563
Provider Name (Legal Business Name): ANITA J. SEE P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N KINGSBURY ST SUITE 130N
CHICAGO IL
60610-7432
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 312-775-1100
  • Fax: 312-661-0591
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085003513
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: