Provider Demographics
NPI:1689927410
Name:SANTINO, ANN C (APN)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:C
Last Name:SANTINO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1725 W HARRISON ST
Mailing Address - Street 2:#740
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3841
Mailing Address - Country:US
Mailing Address - Phone:312-432-9200
Mailing Address - Fax:312-432-9233
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:#740
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-432-9200
Practice Address - Fax:312-432-9233
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL041222804364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health