Provider Demographics
NPI:1760835714
Name:ANERINO, ALAYNA CLAIR
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:CLAIR
Last Name:ANERINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALAYNA
Other - Middle Name:CLAIR
Other - Last Name:SCHUENEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3404 N SEMINARY AVE
Mailing Address - Street 2:APT. 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1688
Mailing Address - Country:US
Mailing Address - Phone:847-269-4524
Mailing Address - Fax:
Practice Address - Street 1:259 E ERIE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2987
Practice Address - Country:US
Practice Address - Phone:312-926-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-14
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily