Individual provider · NPI-1

Dr. Mutimbwa Jo-Anne Anaene, M.D.

Pediatrics, Adolescent Medicine · Park Ridge, IL

NPI number1295042125
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1295042125
Entity type
Individual (NPI-1)
Name
Dr. Mutimbwa Jo-Anne Anaene
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2010
Certification date
Oct 14, 2021
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine036132494ILYes

Practice location

1675 Dempster St
Park Ridge, IL 60068-1110

Phone 847-318-9300

Mailing address

1675 W Dempster St
Park Ridge, IL 60068-1110

Phone 847-723-4370

Other practice locations

77 Rand Rd
Des Plaines, IL 60016-1005

Phone 847-318-9300

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