Provider Demographics
NPI:1932175908
Name:ALKUNANI, ANWAR S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:S
Last Name:ALKUNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 BIESTERFIELD RD
Mailing Address - Street 2:STE 105
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3392
Mailing Address - Country:US
Mailing Address - Phone:847-387-9366
Mailing Address - Fax:847-228-9899
Practice Address - Street 1:901 BIESTERFIELD RD
Practice Address - Street 2:STE 105
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3392
Practice Address - Country:US
Practice Address - Phone:847-387-9366
Practice Address - Fax:847-228-9899
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2014-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-113949207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1635769OtherBC/BS
IL036113949Medicaid
ILK23301Medicare ID - Type Unspecified
ILI47495Medicare UPIN