Landaverry, Anna

Landaverry, Anna is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. She recently has only one registered license in Other Service Providers / Interpreter, which is considered as her primary health care specialty. Landaverry, Anna can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
1620 N La Salle Dr Chicago IL 60614-6005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1760508196
LBN Legal business name Landaverry, Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760508196 NPPES
Illinois MEDICAID 103034

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