Provider Demographics
NPI:1427391309
Name:ANNAN, ELEANOR NAADEI (MD)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:NAADEI
Last Name:ANNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELEANOR
Other - Middle Name:NAADEI
Other - Last Name:ANNAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:40 SKOKIE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1615
Mailing Address - Country:US
Mailing Address - Phone:866-729-1012
Mailing Address - Fax:847-996-2147
Practice Address - Street 1:1840 N CLYBOURN AVE STE 520
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7923
Practice Address - Country:US
Practice Address - Phone:866-729-1012
Practice Address - Fax:847-996-2147
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL0361402522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty