Individual provider · NPI-1

Melanie Anne Anderson, FNP-BC

Registered Nurse, General Practice · Chicago, IL

NPI number1184559627
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1184559627
Entity type
Individual (NPI-1)
Name
Melanie Anne Anderson
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2026
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice041370528ILYes

Practice location

1701 W Superior St
Chicago, IL 60622-5646

Phone 312-666-3494

Mailing address

6912 Waterford Dr
Mchenry, IL 60050-8048

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, General Practice providers in Chicago, IL