=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487658084
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNE E TURNER ANP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2005
-----------------------------------------------------
Last Update Date | 07/21/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1460N HALSTED ST 202
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60642-2612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-871-4409
-----------------------------------------------------
Fax | 773-871-3608
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1460N HALSTED ST 202
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60642-2612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-871-4409
-----------------------------------------------------
Fax | 773-871-3608
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 209.007080
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------