Healthcare Provider Details

I. General information

NPI: 1922797612
Provider Name (Legal Business Name): ANNA REINHART DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

IV. Provider business mailing address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

V. Phone/Fax

Practice location:
  • Phone: 312-472-3665
  • Fax: 312-472-4223
Mailing address:
  • Phone: 312-472-3665
  • Fax: 312-472-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209027357
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0999243-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209.027357
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: