Provider Demographics
NPI:1487658084
Name:TURNER, ANNE E (ANP-C)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:TURNER
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460N HALSTED ST 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2612
Mailing Address - Country:US
Mailing Address - Phone:773-871-4409
Mailing Address - Fax:773-871-3608
Practice Address - Street 1:1460N HALSTED ST 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-2612
Practice Address - Country:US
Practice Address - Phone:773-871-4409
Practice Address - Fax:773-871-3608
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0021792Medicaid
NJS80747Medicare UPIN
ILR03101Medicare UPIN
NJ0021792Medicaid
ILR03100Medicare UPIN