Provider Demographics
NPI:1942373527
Name:PICK, ANTHONY J (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:PICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 N WESTMORELAND RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1687
Mailing Address - Country:US
Mailing Address - Phone:847-535-8852
Mailing Address - Fax:847-535-7399
Practice Address - Street 1:800 N. WESTMORELAND SUITE 201
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045
Practice Address - Country:US
Practice Address - Phone:847-535-8852
Practice Address - Fax:847-535-7399
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036088978207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0360889781Medicaid
ILG59858Medicare UPIN
IL0360889781Medicaid