Provider Demographics
NPI:1356942528
Name:DUCHNOWSKA, ANNA (DNP, APRN, ACNP-BC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:DUCHNOWSKA
Suffix:
Gender:F
Credentials:DNP, APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 SUFFIELD TER
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1568
Mailing Address - Country:US
Mailing Address - Phone:773-574-4508
Mailing Address - Fax:
Practice Address - Street 1:1801 W TAYLOR ST STE 3C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-966-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041413531163WC0200X
IL209021731363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Multi-Specialty