Anami, Latisha

Anami, Latisha is an individual health care provider with primary practice located at 27401 W Highway 22 Ste 125 , Barrington IL 60010-5934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anami, Latisha can be contacted via phone (847) 381-0811.

Contact Information

Primary practice address
27401 W Highway 22 Ste 125 Barrington IL 60010-5934
Phone: (847) 381-0811
Fax: (847) 381-0388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7893-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-005005 Illinois

Profile Details

NPI number 1629481411
LBN Legal business name Anami, Latisha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Aug 20th, 2024 - about 2 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 1629481411 NPPES
Wisconsin MEDICAID 100279942

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