MEDICARE: SAINT ANTHONY HEALTH AFFILIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	367A00000X	Advanced Practice Midwife
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	261QP2000X	Physical Therapy Clinic/Center
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	207RI0011X	Interventional Cardiology Physician
7	208000000X	Pediatrics Physician
8	363LP2300X	Primary Care Nurse Practitioner
9	2083X0100X	Occupational Medicine Physician
10	2084P0800X	Psychiatry Physician
11	207V00000X	Obstetrics & Gynecology Physician
12	207R00000X	Internal Medicine Physician
13	207X00000X	Orthopaedic Surgery Physician
14	207Q00000X	Family Medicine Physician
15	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1295757771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT ANTHONY HEALTH AFFILIATES

Provider Business Mailing Address
First Line	:	1340 S DAMEN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1169
Country	:	US
Telephone Number	:	773-484-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4192 S ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-1850
Country	:	US
Telephone Number	:	773-254-2222
Fax Number	:	773-484-8444

Authorized Official
Title or Position	:	CFO
Name	:	DENNIS O ANOSIKE
Credential	:
Telephone Number	:	773-484-1000

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	12/22/2025

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