Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 125-059256 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 64211 | WI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036-145393 | IL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 64211 | WI |
NPI | 1164717278 |
---|---|
Provider Name | Dr. Anna C Mccormick Krajewski |
First Address | Chicago, IL 60612-3852 |
Second Address | Chicago, IL 60612-3227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 02/07/2019 |