Dr. Mutimbwa Jo-Anne Anaene
Adolescent Medicine
1675 Dempster St
Park Ridge
, Illinois 60068-1110
Dr. Mutimbwa Jo-Anne Anaene
Adolescent Medicine
1675 Dempster St
Park Ridge
, Illinois 60068-1110
(847) 723-4370
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Mutimbwa Jo-Anne Anaene
- 1675 W Dempster St
- Park Ridge, IL
- Zip : 60068-1110
- Phone : (847) 723-4370
Second Address
- Dr. Mutimbwa Jo-Anne Anaene
- 1675 Dempster St
- Park Ridge, IL
- Zip : 60068-1110
- Phone : (847) 318-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 036132494 | IL |
National Provider Identifier
| NPI | 1295042125 |
|---|---|
| Provider Name | Dr. Mutimbwa Jo-Anne Anaene |
| First Address | Park Ridge, IL 60068-1110 |
| Second Address | Park Ridge, IL 60068-1110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2010 |
| Last Update Date | 02/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.