Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | DO-04573 | IA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036128723 | IL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DO-04573 | IA |
NPI | 1285890855 |
---|---|
Provider Name | Heather Ann Anaya |
First Address | Chicago, IL 60611 |
Second Address | Geneva, IL 60134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 23/08/2018 |