Healthcare Provider Details

I. General information

NPI: 1578489324
Provider Name (Legal Business Name): ANNA MIKAL GETZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 SILVER CROSS BLVD STE 200
NEW LENOX IL
60451-8646
US

IV. Provider business mailing address

1870 SILVER CROSS BLVD STE 200
NEW LENOX IL
60451-8646
US

V. Phone/Fax

Practice location:
  • Phone: 630-323-6116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209035920
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: