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General NPI Number Information
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NPI Number | 1619641883
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Entity Type | Individual
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Provider Name | ANNA LEVINA FNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 2003 W FULTON ST STE 505
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City | CHICAGO
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State | IL
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Zip | 60612-2345
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Country | US
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Telephone | 312-243-2223
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Fax | 312-243-2227
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Provider Business Mailing Address
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Address Line | 975 WEILAND RD UNIT 100
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-7053
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Country | US
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Telephone | 847-947-8444
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Fax | 847-947-8435
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209021776
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License Number State | IL
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