Provider Demographics
NPI:1366449837
Name:ANOINA, DOROTHY R (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:R
Last Name:ANOINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 896
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-0896
Mailing Address - Country:US
Mailing Address - Phone:708-283-0376
Mailing Address - Fax:
Practice Address - Street 1:4511 SAUK TRL
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1167
Practice Address - Country:US
Practice Address - Phone:708-283-0376
Practice Address - Fax:708-283-2894
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036087061207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087061Medicaid
ILG13841Medicare UPIN